Gambaran Fungsi Hormon Tiroid Pada Penderita DM Tipe 2 Rawat Jalan
Abstract
Abstract
Background: In previous studies reported that impaired of thyroid function in patients with type 2 diabetes showed different results. This study aims to know the description of the thyroid hormone function in type 2 diabetes mellitus outpatient.
Methods: A cross sectional study was conducted from ·September 2009 - March 2010 in H. Adam Malik General Hospital. The subjects were all outpatients at the clinic of Endocrine and Metabolic who met the criteria participated in this study. All samples were examined of TSHs, FT4, adrandom blood glucose, Total cholesterol, HDL cholesterol, and LDL cholesterol.
Results: There were 40 patients with type 2 diabetes who had participated in study with 19 men
(47.5%), and 21 women (52.5%) with mean age of 58.3 years. We found thyroid dysfunction is
10% or 4 people and in details, 2 people (5%) of subclinical hypothyroidism and 2 people {5%) of
subclinical hyperthyroidism. There were significant differences in average concentrations of three TSHs groups (pl = 0.0010, p2 = 0.012, p3 = 0.001), whereas Fr4 significantly different in eutiroid group and subclinical hyperthyroidism (p2 = 0.00 l) and subclinical hypothyroidism ·group and subclinical hyperthyroidism {p3 = 0.001). TSHs levels correlated positively and statistically
significant with total cholesterol (r = 0.989, p = 0,011)
Conclusions: Overview of thyroid hormone function in 40 patients with type 2 diabetes mellitus
indicates 10% of dysfunction with more women than men, and ages who have been affected is over 60 years.(JKS 2010; I: 1-8)
Keywords: Dysfunction of Thyroid Hormone, Diabetes Mellitus Type 2
Keywords
References
Daftar Pustaka
I. Pasupathy P, Bakthavathsalam G, Saravanan G, Sundara Moorthi. Screening for Thyroid Dysfuntion in the Diabetic/Non-Diabetic Population. Thyroid Science. 2008. 3: 1-6
Perkumpulan endokrinologi indonesia.
Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. PB perkeni.2006: 1-49
Akbar D.H, Ahmed MM, Mughales J.
Thyroid dysfuntion and thyroid autoimmunity in Saudy type 2 diabetics. Acta Diabetol. 2006. 43: 14-18
Shatish R, Mohan V. Diabetes and
Thyroid Diseases-A review. Int j Diab
Dev Ctries. 2003. 23: 120-123
Goodman H.M. Basic Medical
Endocrinology. 3th Elsevier Science.
:77-103
Kim S.R.,Talbott E.A. Contribution of Abnormalities of Thyroid Hormones to Type 2 Diabetes. Diabetes Care. 2000.
: 260-1
Mokuno T, Uchimura K, Hayashi R, et al. Glucose transporter 2 concentrations in hyper-and hypothyroid rat liver. Journal of Endocrinology.1999. 160:
-289
Wu P. Thyroid Disorders and diabetes.
Available from : http//www. Diabetes self Management.mht
Chubb SAP, Davis WA, Inman Z, Davis
TME. Prevalence and progression of subclinical hypothyroidism in women with type 2 diabetes: the Fremantle Diabetes Study. Clinical Endocrinology.2005. 62: 480-86
Z Schroner, I Lazurova, J Petrovicova.
Autoimmune thyroid diseases in patients
with diabetes mellitus. Bratisl Lek Listy.
109: 125-129
P Perros, RJ McCrimmon, G Shaw, BM Frier. Frequncy of thyroid dysfunction in diabetic patients: value of annual screening. DiabetMed.1995.12: 622-7
Ladenson P.W, Singer PA, Ain KB, Bagchi N,Bigos ST, Levy EG, et aJ. American Thyroid Association. Guidelines for Detection of Thyroid Dysfunction. Arch Intern Med.2000.
: 1573-75
British thyroid association. UK guidelines for the use of thyroid function test British thyroid foundation. 2006: 1-
Gonem S, Wait A, De P. Routine screening for thyroid disease in patients with diabetes mellitus: is it worthwhile?.Endocrine
abstracts.2007.13: .317
Viera AJ. Thyroid function testing in out patients : are both sTSH and FT4 necessary. Fam Med. 2003.35: 408-10
Soeatmadji DW. Disfungsi Tiroid
Subklinis. Dalam: Djokomoeljanto, editor. Buku Ajar Tiroidologi Klinik. Balai Penerbit UNDIP. Semarang.
:473-98
Hendromartono. Hipotiroidi dan hipertiroid subklinis diterapi atau tidak diterapi. Dalam: Tjokroprawiro A, Hendromartono, Surjajo A, et al. Surabaya Thyroid Symposium. Surabaya.2006: 46-55
Michalek AM, Mahoney MC, Calebough D, Hypothyroidism and diabetes mellitus in an American Indian population. J fam Pract. 2000. 49: 638-640
Ladenson P.W, Singer PA, Ain KB, Bagchi N,Bigos ST, Levy EG, et al. American Thyroid Association Guidelines for Detection of Thyroid Dysfunction. Arch Intern Med.2000.160:
-75
Biondi B, Cooper DS. The clinical significance of subclinical thyroid dysfunction. Endocrine reviews.
29:76-131
Hueston WJ, Pearson WS. Subclinical hypothyroidism and the risk of h.ypercholesterolemia. Ann Fam Med.
2:351-355
Refbacks
- There are currently no refbacks.