Online ISSN: 2515-8260

Keywords : Thyroid dysfunction


A STUDY OF THYROID FUNCTION TEST IN PATIENTS WITH DIABETES MELLITUS

DR.PARTH R. JANI,DR. PANKAJ. J. AKHOLKAR,DR. SAGAR S. GARCHAR, DR. N N. PANDYA

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 491-503

Introduction:  
Diabetes mellitus (DM) is a growing problem in our country and we have observed that many patients are associated with thyroid dysfunction later in their life. Hence, the prevalence of thyroid dysfunction in diabetes mellitus patients should be evaluated. 
Objectives:  
To evaluate spectrum of thyroid disorders in diabetic patients and To access  altered thyroid function in patients with diabetes mellitus regarding age, sex, duration of  diabetes, family history, regularity of treatment and BMI.  
Materials and Methods:  
In this cross sectional study, after taking permission from ethical committee, data of 280 DM patients who attended the OPD clinic of sir  takhtasinhji hospital, Bhavnagar over period of 9 month, and whose thyroid stimulating  hormone (TSH), free T3, free T4 level were investigated, were included. The inclusion criteria were known cases of DM. Exclusion criteria were patients with previous history of thyroid disorder and those on drugs affecting the thyroid profile, chronic renal failure and Diabetic nephropathy, acute illness, hepatic dysfunction, psychiatric illness, Pregnancy.  
 
Results:  
Out of 280 DM patients 158 were males and 122 were females, 195 (69.64%) were euthyroid, 37 (13.22%) had subclinical hypothyroidism, 23 (8.21%) had overt hypothyroidism, 14 (5%) had subclinical hyperthyroidism and 11 (3.9%) were overt hyperthyroidism cases.  Female sex (P < 0.0091) and patient with irregular treatment (P < 0.001) were at increased risk of having hypothyroidism.  
Conclusion:  
 
Prevalence of thyroid dysfunction was high in DM patients with female sex and patients with irregular treatment.  
Introduction:  
Diabetes mellitus (DM) is a growing problem in our country and we have observed that many patients are associated with thyroid dysfunction later in their life. Hence, the prevalence of thyroid dysfunction in diabetes mellitus patients should be evaluated. 
 
 
 
Objectives:  
To evaluate spectrum of thyroid disorders in diabetic patients and To access  altered thyroid function in patients with diabetes mellitus regarding age, sex, duration of  diabetes, family history, regularity of treatment and BMI.  
 
Materials and Methods:  
In this cross sectional study, after taking permission from ethical committee, data of 280 DM patients who attended the OPD clinic of sir  takhtasinhji hospital, Bhavnagar over period of 9 month, and whose thyroid stimulating  hormone (TSH), free T3, free T4 level were investigated, were included. The inclusion criteria were known cases of DM. Exclusion criteria were patients with previous history of thyroid disorder and those on drugs affecting the thyroid profile, chronic renal failure and Diabetic nephropathy, acute illness, hepatic dysfunction, psychiatric illness, Pregnancy.  
 
Results:  
Out of 280 DM patients 158 were males and 122 were females, 195 (69.64%) were euthyroid, 37 (13.22%) had subclinical hypothyroidism, 23 (8.21%) had overt hypothyroidism, 14 (5%) had subclinical hyperthyroidism and 11 (3.9%) were overt hyperthyroidism cases.  Female sex (P < 0.0091) and patient with irregular treatment (P < 0.001) were at increased risk of having hypothyroidism.  
 
Conclusion:  
Prevalence of thyroid dysfunction was high in DM patients with female sex and patients with irregular treatment.  
 

LOW SERUM FREE TRI-IODOTHYRONINE HORMONE AS A POSSIBLE PROGNOSTIC FACTOR IN ALCOHOL RELATED LIVER DISEASE

Dr Leelaraghavan G R, Dr Gnanendra D M,Dr sheshanv.s,Dr Kiran S,Dr Abhiman Shetty B,Dr R Madhumathi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5004-5009

Introduction: The levels of thyroid hormone & thyroid binding proteins are altered in patients of
chronic liver disease. Our aim was to assess the serum freeT3 and serum free T4 levels, in alcohol
related liver disease and to find the correlation between thyroid hormone levels and severity of
alcohol related liver disease.
Methods: A cross sectional study, with a sample size of 50, was done to assess the serum free T3
andserum free T4 levels of thyroid function andto correlate them with prognostic factors of alcohol
related liver disease, i.e.MELD-Na - which is derived by adding serum sodium to the original Model
for End-Stage Liver Disease (MELD) score and Maddrey’sDiscriminant Function (DF).Statistical
analysis was done with - Chi-Square test, p value <0.001 was considered as statistically significant.
Results: Of the 50 patients, low serum free T3 levels were found in 29 patients, among them15
patients had DF<32; 14 patients had DF>32(p value <0.001), and 14 patients had MELD-Na<24.50;
15 patients had MELD-Na >24.50(p value <0.006). Low serum freeT4 levels were found in 12
patients, among them 4 patients had DF<32;8 patients had DF >32 (p value <0.001), and 8 patients
had MELD <24.50; 4 patients had MELD >24.50(p value <0.825).
Conclusion: Significant decrease in the serum free T3 levels was found in patients of alcohol related
liver disease with Maddrey’sDiscriminant Function >32 and MELD-Na >24.50 (both prognostic
markers of more severe liver disease). Hence, low serum free T3 level can be used as a prognostic
indicator of severity of alcohol related liver disease.