World Journal of Medical Sciences 11 (3): 348-352, 2014
ISSN 1817-3055
© IDOSI Publications, 2014
DOI: 10.5829/idosi.wjms.2014.11.3.8539
Corresponding Author: T.D. Fabiyi, Department of Physiology, Afe Babalola University Ado Ekiti, Nigeria.
348
Thyroidectomy and Thyroxine Replacement Caused
Impaired Oral Glucose Tolerance in Rat
Q.E. Arigi, T.D. Fabiyi and A.A. Fasanmade
1 2 1
Department of Physiology, University of Ibadan, Ibadan, Nigeria
1
Department of Physiology, Afe Babalola University Ado Ekiti, Nigeria
2
Abstract: Thyroxine influences diverse metabolic pathways important in glucose metabolism and
important mediators of glucose homeostasis. Thyroxine replacement therapy is usually given in cases of
hypothyroidism thus this study was conducted to assess the effects of thyroxine replacement therapy and
thyroidectomy on glucose tolerance. Forty rats were divided into four groups (n=10). Group 1(control) was
sham operated, group 2 was thyroidectomised, group3 was sham operated and treated with 10mcg/100g bdwt
for five weeks, Group 4was thyroidectomised and given 10mcg/100g bdwt T4 for five weeks. The rats were
anaesthetized by injecting 0.2ml/100g/bdwt ketamine hydrochloride intraperitonially. The rats were weighed
before and weekly after the surgery. Oral glucose tolerance test was performed on the rats after five weeks
treatment period and total serum thyroxine was determined by chemi-immunoluminiscence. Results were
presented as mean +SEM and P values less than or equal to 0.05 was taken as significant. There was fluctuating
weight loss and gain in groups 3 and 4 while group 2 had significant steady weight gain compared with control.
Fasting blood sugar at zero minute was significantly higher at groups 2, 3 and 4. At 30 mins, glucose level
was significantly reduced in groups 2 and 3while group 4 was not significantly different from control. At 60 and
90 minutes, glucose level was markedly reduced in the three groups compared with control but at 120 min
there was significant difference between glucose level in the groups and control. Based on the results in this
study, hypothyroidism and hyperthyroidism cause impairment in glucose tolerance and a n elevated
fasting blood glucose level while thyroxine replacement did not normalise the disturbances caused by
thyroidectomy on glucose tolerance nor did it reduce the fasting blood sugar level as observed when compared
to the control.
Key words: Thyroidectomy Thyroxine Oral Glucose Tolerance
INTRODUCTION has become an increasing trend in recent years. Thyroxine
Thyroxine influences diverse metabolic pathways hypothyroidism and therefore to probably completely
important in glucose metabolism and important mediators restore normal metabolic activity. However thyroxine is a
of glucose homeostasis [1]. For nearly a century, many diabetogenic hormone. This study was conducted to
publications focused on the relationship between evaluate the effect of exogenous thyroxine on glucose
diabetes and thyroid disease [2]. Essentially all aspects of tolerance in other to understand how well thyroxine
metabolism are enhanced under the influence of thyroid replacement therapy can compensate for the removal of
hormone. Toshiki mano et al. [3] reported abnormal the thyroid gland in relation to its role in glucose
glucose tolerance in hyperthyroidism however glucose metabolism and to evaluate the relationship between
tolerance in hypothyroidism has not been reported. exogenous thyroxine administration and body weight in
Hypothyroidism sometimes resulting from thyroidectomy the management of hypothyroidism.
is taken to replace the deficiency which exists in