Auditing of Medical Chart Among Type 2 Diabetic Patient Done by Primary Care Physicians

Abstract

FMT recorded a higher number of metabolic parameters for macrovascular risk factors (BG, BP and BMI) than microvascular risk factors (HbA1c, foot exam and urinoanalisis) which are were better controlling by PAT teams.

Effects of Treatment with L-thyroxin on Glucose Regulation in Patients with Subclinical Hypothyroidism

“…Based on studies by a group of authors, in certain groups of the population, the incidence of subclinical hypothyroidism reaches 10-12% (8). Prevalence of thyroid disease in patients with diabetes mellitus is about 10-15% (9).…”

“…Th us, the TSH level was higher than normal in 47% of patients who required less than 100 μgl thyroxine daily, and lower in 24% of patients. According to research data from Colorado, from 1525 patients in 17.6% of those who primarily-thyroxine was about subclinical hypothyroidism in 0.7% of patients, regardless of whether or not they received L-thyroxine, whether it's overt hypothyroidism (8). Th e results of our study showed decrease in TSH values in the group of patients treated with thyroxine (5.85±0.92 vs. 3.54±0.55), which was statistically signifi cant (p=0.009).…”

“…The prevalence of subclinical hypothyroidism is 8-10%, even 15% for women and 3% for men. Already slight subclinical hypothyroid-ism can cause disorders of sensitive functions-left ventricular diastolic dysfunction, lack of ovulation and the expression of LDL receptors which cause increase in LDL and decrease HDLcholesterol while total cholesterol still remains normal (6,7,8,9,10). The slowdown of all processes at the same time leads to the loss of their mutual balance of thyroid hormones which regulate metabolic processes throughout the body and affect the supply of sugar in the blood.…”