Associação de tireopatias em uma população de pacientes com diabetes

Abstract

Thyroid Disorders in Diabetic Patients. Objective: To evaluate thyroid function and morphology in all diabetic outpatients from our institution. Methods: From 1996 to 1998, all diabetic patients were submitted to thyroid ultrasonography (US) and serum measurement of free T 4 , TSH, TPOAB, and TRAb. The control group, encompassing outpatients of the same hospital without diabetes and thyroid diseases, was submitted to the same evaluation. A patient was shown to have thyroid disorder when two or more measurements were altered, or when the US was abnormal. Results: The diabetic patients (n= 256) differed from controls (n= 75) by presenting a greater frequency of thyroid disorders (51.6% vs. 38.7%; P<0.05). In patients with thyroid disorders, both groups did not differ regarding thyroid function. In diabetic patients with thyroid disorders there was a higher frequency of women, type 2 diabetes, and family history of thyroid disorders. Conclusions: The high prevalence of thyroid disorders in the diabetic population leads us to recommend thyroid evaluations in all diabetic patients.

TSH and TPOAB as Predictors of Thyroid Disease in Diabetic Patients

“…This is similar to the rate found in a previous study, 4 in which a frequency of 52% was observed in the same geographical area. This is similar to the rate found in a previous study, 4 in which a frequency of 52% was observed in the same geographical area.…”

Prevalência de hipotireoidismo em pacientes com diabetes mellitus tipo 2

“…Pimenta et al 9 encontraram uma prevalência de hipotireoidismo de 28,8% em um estudo com 132 diabéticos, sendo que 80,9% deles sofriam de diabetes mellitus tipo 2. Gozzano et al 10 estabeleceram uma prevalência de hipotireoidismo de 19,5% em uma amostra com 118 diabéticos tipo 2.…”

Untitled

“…Many researchers adopt as diagnostic of this pathology an increased tracer retention in the bladder during the performance of radionuclide cystography. The bladder dysfunction would result from neurological, muscular and urothelial injuries, uriginated on hiperglicemia 32,33 .…”