THYROID FUNCTION IN DIABETESMELLITUS
Dr. Md Tarique Anwar*, Dr. Begam Rubia and Dr. M. M. Patil
ABSTRACT
Background: Diabetes Mellitus (DM) and thyroid diseases are two common endocriniopathies seen in general population. Even a term 'thyroid diabetes' was coined in the early literature to depict the influence of thyroid hormone excess in the deterioration of glucose control. Thyroid disease which can occur in diabetes mellitus and causes more metabolic disturbances which can further complicate management of patients and escalate the costs of diabetes mellitus treatment. Methods: It is Cross sectional study. Study included 160 cases that were diagnosed case of type 2 diabetes mellitus. Duration of study was 2years. All known cases of type 2 diabetes mellitus are included. All Type 1 diabetes mellitus, thyroid dysfunction, pregnancy and Drugs affecting thyroid function cases were excluded. Consent was taken and Interviewed as Per the Performa. Relevant Clinical Examination and Thyroid Function Test fbs pmbs was done. Result:The prevalence of thyroid dysfunction in present study was 33.1%.In present study 66.9% (107) cases were euthyroid, 28.8 %( 46) were hypothyroid and 4.4 %( 7) were hyperthyroid. Mean age in present study was 59.11±10.40, In present study 51.25 %( 82) cases were male and 48.75% (78) cases were female .In euthyroid 59.81 %(64) were male 40.19%(43) were female , in hypothyroid 34.78% (16)were male 65.22%(30) were female , in hyperthyroid 28.57%(2) were males and 71.43%(5) were female. In present study we observed poor glycemic control in cases of thyroid dysfunction as compared to euthyroid group. Mean FBS & PMBS were higher in thyroid dysfunction group as compared to euthyroid group. Conclusion: Prevalence of thyroid dysfunction in patient of type 2 diabetes mellitus was 33.1%. Thyroid dysfunction was more common in female .Cases with thyroid dysfunction had higher BMI (hypothyroid). Cases with thyroid dysfunction had poor glycemic control as compared to euthyroid group.
Keywords: Fbs – fasting blood sugar, pmbs –post meal blood sugar tsh –thyroid stimulating hormone.
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