尼日利亚西北部索科托2型糖尿病患者甲状腺功能障碍的评估

M. Abdulrahman, L. Jamilu, M. Ladan, D. M. Sahabi, U. A. Abdullahi, B. Aminu, A.A. Fakku, S. Kasimu, W. T. Adanlawo, M. M. Birnin Kebbi, K. Sanusi
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摘要

糖尿病(DM)和甲状腺功能障碍(TD)是普通人群中最常见的两种内分泌疾病。2型糖尿病(T2DM)通常与甲状腺功能改变有关。本研究的目的是评估尼日利亚索科托T2DM患者的TD。采集80例2型糖尿病患者和同等数量的表面健康对照者的血液样本,分析空腹血糖(FBS)、糖化血红蛋白(HbA1c)、促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)、胆固醇、甘油三酯(TG)、高密度脂蛋白(HDL-C)和低密度脂蛋白(LDL-C)。T2DM患者和对照组的平均年龄分别为37.06±6.09岁和37.10±9.90岁。与对照组相比,糖尿病患者的FBS、HbA1c、胆固醇、TG和LDL-C水平显著升高,HDL-C水平显著降低。2型糖尿病患者T3、T4水平明显低,TSH水平明显高。甲状腺功能障碍可能使糖尿病患者的代谢控制复杂化。对糖尿病患者进行甲状腺疾病(激素)常规筛查,对稳定代谢控制,降低发病率具有重要意义。
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Assessment of thyroid dysfunction in type 2 diabetes mellitus patients in Sokoto, North -Western Nigeria
Diabetes Mellitus (DM) and Thyroid Dysfunction (TD) are the two most common endocrinopathies seen in general population. Type 2 diabetes mellitus (T2DM) is commonly associated with altered thyroid function. The aim of this study is to evaluate TD in patients with T2DM in Sokoto, Nigeria. Blood samples were collected from 80 type 2 diabetic patients and equal number of apparently healthy matched controls and analyzed for fasting blood sugar (FBS), glycated hemoglobin (HbA1c), thyroid stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), cholesterol, triglycerides (TG), high density lipoprotein (HDL-C), and low density lipoprotein (LDL-C). The mean age of T2DM patients and controls were 37.06±6.09 and 37.10±9.90 respetively. The levels of FBS, HbA1c, Cholesterol, TG, and LDL-C were observed to be significantly high and the level of HDL-C was significantly low in diabetics as compared to control. The levels of T3 and T4 were significantly low while the level of TSH was significantly high in Type 2 diabetics. Thyroid dysfunction may complicate metabolic control in diabetes mellitus. It’s important for routine screening of thyroid disease (hormones) among patients with diabetes so as to stabilize metabolic control and reduce morbidity.
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