THYROID DYSFUNCTION IN TYPE 2 DIABETESMELLITUS: A STUDY FROM TERTIARY CARE CENTRE.ANDHRA PRADESH

D.Madhusudhana; N.Renuka Devi; B.Sudarsi; D.R.Anusha

Volume : VII, Issue : XI, November - 2018

THYROID DYSFUNCTION IN TYPE 2 DIABETESMELLITUS: A STUDY FROM TERTIARY CARE CENTRE.ANDHRA PRADESH

D. Madhusudhana, N. Renuka Devi, B. Sudarsi, D. R. Anusha

Abstract :

Background: Diabetes mellitus and thyroid diseases are the two common endocrinopathies seen in the adult population. Insulin and thyroid hormones are intimately involved in cellular metabolism. Excess or deficit of either of these hormones could result in the functional derangement of the other. AIMS & OBJECTIVES OF THE STUDY: To study the prevalence and spectrum of thyroid dysfunction in patients with type 2 diabetes mellitus. To evaluate the relationship between glycemic control and occurrence of altered thyroid function in type 2 diabetes mellitus.

MATERIAL AND METHODS: This is a Cross sectional study done on 100 persons with known type 2 diabetes mellitus or newly detected Type 2 diabetes mellitus without known thyroid disorders either admitted in wards or attending the outpatient in Department of General Medicine, DR.PINNAMANENI SIDDHARTHA INSTITUTE OF MEDICAL SCIENCES & RESEARCH FOUNDATION, chinavutapally, gannavaram. Questionnaire, BMI(Body Mass Index) calculation, Blood pressure, FBS(Fasting Blood Sugars), PPBS(Post Prondial Blood Sugars),Blood Urea, Serum creatinine, Urine analysis,ECG(Electrocardiogram), Chest Xray, Fasting lipid profile,Thyroid profile(T3, T4 and TSH), HbA1C, Fundus examination were done in all patients who were included in the study.

Results: In present study 64% (64) of patients were between 41–60 years. 63% (63) of patients were females; 37%(37) of patients were males. 18% (18) of patients had abnormal TSH level . the18 patients with abnormal thyroid profile, 22.2% (4) of patients had Diabetes more than 10 years, 33.3% (6) had duration between 6–10 years and 44.4% (8) had Diabetes 5 years or less.Conclusion: The present study identified the patients at risk with subclinical hypothyroidism in type 2 diabetes. Therefore, the screening of thyroid dysfunction in type 2 DM patients is essential to reduce the severity of disease and endocrinal abnormalities in diabetic patients.