A Study of Prevalence and Spectrum of Thyroid Dysfunction in Type Ii Diabetes Mellitus”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
INTRODUCTION Among all the endocrine-metabolic diseases, Diabetes is the most common disorder seen. The impact of this disease on the quality of life, morbidity and mortality through the complications that affect the large and small vessels resulting in retinopathy, nephropathy, neuropathy, coronary artery disease, cerebrovascular disease and large vessel obstruction has been emphasized by the findings of the National Commission (USA) on diabetes and DCCT trial. AIMS AND OBJECTIVES OF THE STUDY 1. To study the thyroid functions in diabetes mellitus. 2. To know the spectrum of thyroid dysfunction in diabetes mellitus. METHODOLOGY The study includes type 2 diabetics from OPD’s and IPD’s of all the departments of KIMS Hospital, Hubli in the period between January 2015 and December 2015. 100 patients of type 2 are selected from OPD and IPD in a random fashion. RESULTS 1. The present study included 100 patients with type 2 diabetes mellitus. Out of 100 subjects, 53 were females and 47 were males. Age group of study participants was divided into 31-50, 51-70, 71-90years. Mean age (SD) = 56.13 (11.95) Mean age (SD) among male = 56.06 (9.63) Mean age (SD) among female = 56.2 (13.77) The p-value for the difference in mean age between males and females was 0.959 which was statistically not significant. DISCUSSION Among the endocrine-metabolic diseases, diabetes occupies the major share. India has the dubious distinction of being home to the largest number of people suffering from diabetes than any country in the world. The disease is responsible for significant mortality and morbidity due to the complications. This study was conducted at KIMS, Hublibetween 2014 and 2015. Thyroid functions were studied in type 2 Diabetes Mellitus patients attending the OPD and IPD of KIMS hospital. A total of 100 type 2 diabetic patients were studied. All were confirmed diabetics who previously had fasting plasma glucose levels of >126 mg/ dl or RBS of ≥200 on more than one occasion and were receiving treatment such as Insulin, OHA’s or physical exercise therapy. All these patients were from the rural area. Prevalence and spectrum of thyroid disorders in type 2 diabetics. In this study of 100 patients with type 2 diabetes, 53 were males and 47 were females. We have found 26 patients with thyroid disorders i.e., 26% and a number of reports have also indicated higher than normal prevalence of thyroid disorders. CONCLUSION Thyroid dysfunction is seen in 26% of the patients with type 2 diabetesmellitus. Subclinical hypothyroidism was the most common abnormality noted. Thyroid dysfunction was more common in females than in males. A serum TSH within euthyroid range almost always eliminates the diagnosis of hypo or hyperthyroidism. This shows that TSH is preferred screening test for thyroid dysfunction in diabetics.
Authors and Affiliations
Dr Brijesh K, Dr Mahantesh. Ghaniger
Keywords
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