Category: Thyroid

PREVALENCE OF THYROID DYSFUCTION IN DIABETIC PATIENTS : A SINGLE CENTER STUDY

Monday, Apr 8
1:00 AM – 2:00 AM

Objective :

Objective of this study is to find the prevalence of thyroid dysfunction in Diabetic patients and to assess the correlation between these of two endocrinal disorders.


Methods :

Material: This is a cross sectional study of 300 patients either attending OPD of RAMCHANDANI DIABETES CARE AND RESEARCH CENTER KOTA, who were assessed during March 2016-April 2017. The inclusion criteria are known cases of DM. All patients underwent clinical and laboratory evaluation in which HbA1c, Thyroid profile and Lipid profile were investigated.


Results :

The prevalence of Thyroid dysfunction in all diabetic patients was 28%. Out of 300 Diabetes Mellitus patients for the study of which 140 are males and 160 are females, 72% are euthyroid, 18% have subclinical hypothyroidism, 5.34% have clinical hypothyroidism and 4.66% have hyperthyroidism. Duration of diabetes had no relation with incidence of thyroid disorders. Patients with uncontrolled diabetes with micro vascular complication had subclinical hypothyroidism. Elderly population had more incidences. Subclinical hypothyroidism was more common among females.


Discussion : Diabetes Mellitus (DM) and Thyroid dysfunction (TD) are the two most common endocrine disorders in clinical practice. Unrecognised Thyroid dysfunction may adversely affect the metabolic control and add more risk to an already predisposed scenario for cardiovascular diseases


Conclusion :

Conclusions: We conclude that screening for thyroid disease among diabetic patients should be routinely performed considering the prevalence of new cases diagnosed and the possible aggravation of the classical risk factors such as hypertension and dyslipidaemia, arising from an undiagnosed thyroid dysfunction

G D RAMCHANDANI

Director and Diabetologist RAMCHANDANI DIABETIC CARE AND RESEARCH CENTER
Daswani Dental College KOTA RAJASTHAN INDIA 324005
Kota, Rajasthan, India

Dr. G.D.Ramchandani MD,PGDDM (UK),FACP (USA), FICP, FIACM, AFISC Senior Physician & Consultant Diabetologist Prof. & Head, Dept. of Internal Medicine : Daswani Dental College ,Kota
RAMCHANDANI DIABETES CARE AND RESEARCH CENTER

Approved for IDF : CENTRE OF EDUCATION
Partner of IDF - Project “Life For A Child” at Kota

Fellow American College of Physicians
Post Graduate Diploma in Diabetes Management (PGDDM) from
Middlesex University London (UK)
Hon. Secretary : RSSDI Rajasthan Chapter
Country (INDIA) Advisor of IDF-Project LFAC Medical & Scientific Advisor Group
Tutor of “IDF School of Diabetes”
Joint Secretary ICP (Dean’s Place) 2016
Hon. Secretary : Rajasthan Forum of ICP Fellows
Member Credential Committee of ICP 2016
Sub Editor of “Medicine Update” and “Progress in Medicine” 2016
Member American Association of Clinical Endocrinologists (AACE)
Member: ADA(USA), ATA(USA), ACP(USA), ISPAD(AUSTRALIA),AADE(USA),DSGA,RCP
Regional Faculty and Course Trainer of NDEP and PHFI at Kota
President: API Kota Chapter 2017 ,Kota Diabetic Welfare Trust
National Faculty : APICON, RSSDI, DIACON, HSICON, Diabetes India

GIRISH MATHUR

Director and Senior Physician
S N Pareek Hospital Jawahar Nagar KOTA, Rajasthan, India

Vice Dean Indian College of Physicians , Past Vice President Associatin of Physicians of India