2型糖尿病患者甲状腺功能指标与胰岛素抵抗的关系

Pshtiwan K. Othman, Ismail S. Kakey
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摘要

糖尿病(DM)和甲状腺疾病都是由内分泌异常引起的,两者已被证明具有相互影响并经常共存。因此,本研究旨在检测2型糖尿病(T2DM)患者甲状腺功能标志物。本研究选取了90名年龄在40 - 60岁的参与者作为研究样本。2型糖尿病66例,非糖尿病健康人24例。对所有受试者的年龄、性别、糖尿病病程、血糖控制(HbA1c)、空腹血糖(FBG)、糖尿病并发症、体重指数(BMI)、腰围(WC)和糖尿病家族史进行调查,并评估血清甲状腺激素(TSH、FT3和FT4)、HbA1c、FBG和胰岛素水平。研究结果显示,糖尿病患者的血糖发生率、高胰岛素血症和胰岛素抵抗(IR)较高。此外,T2DM患者TSH浓度较低,FT4和FT3血药浓度高于对照组。此外,血清FT4和FT3与FBG、胰岛素和IR值呈极显著相关。此外,WC与胰岛素和Homa - Ir之间存在显著关联。总之,糖尿病患者与甲状腺功能状态有显著关系。
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EVALUATION OF THYROID FUNCTION MARKERS IN TYPE 2 DIABETIC PATIENTS IN RELATION TO INSULIN RESISTANCE
Diabetes mellitus (DM) and thyroid disorders are both caused by endocrine abnormalities, and both have been shown to have a reciprocal influence and frequently coexist. Hence, the current study aims to detect the thyroid functions markers among patients with Type 2 diabetes (T2DM). In this research study, 90 enrolled participants aged 40 to 60 years were taken as samples for the study. There were 66 with T2DM and 24 who were non diabetic healthy individual. All individuals were investigated in terms of age, gender, diabetes duration, glycemic control (HbA1c), fasting blood glucose (FBG), diabetic complications, Body mass index (BMI), waist circumference (WC), and family history of DM. Samples were to assess serum thyroid hormones (TSH, FT3 and FT4), HbA1c, FBG, and insulin levels. The study's findings showed higher glucose incidence, hyperinsulinemia and higher insulin resistance (IR) in diabetic patients. Additionally, it has been noted that T2DM patients have low TSH concentrations and elevated blood concentrations of FT4 and FT3 than controls. Moreover, there was a highly significant correlation between serum FT4 and FT3 with values of FBG, insulin and IR. Also, a significant association between WC with insulin and Homa – Ir was noted. In conclusion, the diabetic patients showed significant relations with thyroid functions status.
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