Clinical status of thyroid functions in patients with diabetes mellitus
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 5
Abstract
Background: Among the endocrine disorders, diabetes mellitus (DM) and thyroid dysfunction (TD) are frequently encountered during clinical practice. The objective of the present study was to show the prevalence of thyroid dysfunction in type 1 and 2 diabetic patients. Methods: The study was conducted on 186 diabetic patients who attended the outpatient diabetic clinic of Department of Medicine, Government Medical College, Kozhikode, Kerala, India. The study was prospective descriptive study. The recruited patients underwent routine clinical and laboratory investigation. The prevalence of thyroid abnormality was correlated with gender, age, Glycated hemoglobin, duration of diabetes, hypertension, family history of thyroid disorder and hyperlipidemia. Results: The overall prevalence rate of thyroid dysfunction was found to be 25%. Among the type of thyroid abnormalities, the commonest was subclinical hypothyroidism (14.4%) andsubclinical hyperthyroidism (8.2%) followed by primary hyperthyroidism (2.4%). Male patients were more affected with thyroid disorders as that of the females. Further, the prevalence of thyroid disorder was high in patients with age lower than 50 years and also in thepatients with uncontrolled diabetes with Glycated hemoglobin value ≥7. Conclusions: The prevalence of thyroid disorder was very high in type 2 diabetic patients and the subclinical hypothyroidismwas the more common thyroid disorder. Thus, thyroid screening is highly essential for diabetic patients with poor diabetic control.
Authors and Affiliations
Dr. Kamalasanan C. G.
Keywords
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