Study on the Prevalence of Thyroid Disorders and Thyroid Autoimmunity among Type 1 Diabetics.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Type 1 Diabetes is a common autoimmune endocrine disease in children and adolescents. The presence of auto antibodies targeted against β-cell antigens represents the autoimmune character of Type 1 Diabetes. Due to this autoimmune basis, individuals with Type 1 Diabetes are at increased risk for the development of additional autoimmune disorders compared with the general population. Material & MethodsA cross sectional observational study to analyse the prevalence of thyroid disorders and thyroid autoimmunity among Type 1 Diabetes in Department of General medicine, Government General Hospital, Guntur Medical College, Guntur.Established cases of Type 1 Diabetes , diagnosed based on standard criteria were included. Results: Out of the 64 study population, total number of hypothyroid patients were 8 (12.5%). Majority (7 out of 8 cases) were having subclinical hypothyroidism. With regards to thyroid autoimmunity status, total number of patients positive for Thyroid Peroxidase Antibodies (TPOA) were 12 (18.75%). Total number of TPOA patients with hypothyroidism were 58% (7 out of 12) and total number of hypothyroid patients with TPOA were 87.5% (7 out of 8).Conclusions: Study confirms the association between autoimmune hypothyroidism and type 1 diabetes and suggests that all subjects with type 1 diabetes, particularly those with positive Thyroid Peroxidase antibodies, should undergo annual screening by serum Thyroid Simulating Hormone measurement to detect asymptomatic thyroid dysfunction.
Authors and Affiliations
Dr. ReddiJagannadham, Dr. Sigamani Sunitha
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