Selenium and Thyroid Disorders and Type 2 Diabetes Reviewed

Why selenium important for thyroid hormone metabolism?

Sufficient selenium is essential for normal thyroid hormone synthesis and activation. Furthermore, selenium is important for protection of the thyroid gland against oxidative stress. Note that both selenium deficiency and excessive intake can impair thyroid health [Gorini 2021].

Thyroid gland needs selenium
Hypothyroidism can alter glucose metabolism and can increase the risk of insulin resistance.

Several selenium-dependent enzymes catalyze thyroid hormone synthesis and activation. Similarly, selenoenzymes provide antioxidant protection against oxidative damage [Gorini 2021].

Importantly, selenium is incorporated into deiodinases. These enzymes convert the T4 hormone into the biologically active hormone T3. In addition, antioxidant selenoenzymes such as the glutathione peroxidases and the thioredoxin reductases neutralize hydrogen peroxide radicals that are generated during thyroid hormone production [Gorini 2021]. read more

Selenium and Graves’ Orbitopathy

Where is the strongest evidence that selenium supplementation helps a thyroid disorder?

Answer: The strongest evidence is from studies of patients with Graves’ orbitopathy.

What is Graves’ orbitopathy (GO)?
Prof Urban Alehagen, selenium researcher
In 2024, Prof. Urban Alehagen published KiSel-10 study results that showed that combined selenium and Coenzyme Q10 supplementation of elderly individuals low in selenium has beneficial health effects on thyroid hormones.

Answer: GO, also known as thyroid eye disease, is an inflammatory autoimmune disorder. It affects the tissues around the eyes. It causes swelling and discomfort. Most frequently, it affects individuals who have Graves’ disease [Cleveland Clinic 2026].

What does the clinical evidence show about selenium supplementation and Graves’ orbitopathy?

Answer: In 2026, Kostadinov et al examined data from five RCTs including 303 patients with Graves’ Orbitopathy. 165 patients received selenium; 138 received placebo or no selenium. Selenium supplementation resulted in a significant reduction in clinical activity score. However, the meta-analysis showed no significant differences in Quality of Life improvement or in visual function [Kostadinov 2026]. read more