Annals of International Medical and Dental Research
E-ISSN: 2395-2822 | P-ISSN: 2395-2814
Vol-9, Issue-2 | March- April 2023
DOI: 10.53339/aimdr.2023.9.2.27
Page no- 180-189 | Section- Research Article (Medicine)
180
Copyright: ©The author(s), published in Annals of International Medical and Dental Research, Vol-9, Issue-2. This is an open access article under
the Attribution-Non Commercial 2.0 Generic (CC BY-NC 2.0) license. (https://creativecommons.org/licenses/by-nc/2.0/)
Thyroid Dysfunction in Adults with Newly Detected Type 2 Diabetes Mellitus: A
Study in a Tertiary Care Hospital, Dhaka, Bangladesh
MD Mahbub Hossain Khan
1*
, Nusrat Zarin
2
, AFM Helal Uddin
3
, MD Lutfar Rahman
4
, MD Abdul
Alim
5
, Shams-El-Arefin
6
, Kamrun Nahar
7
, Mohammad Mahabub Hossain
8
*1
Assistant Registrar, Department of
Medicine, Sir Salimullah Medical College
and Mitford Hospital, Dhaka, Bangladesh.
Email: mahabubssmc@gmail.com
Orcid ID: 0000-0002-1467-591X
2
Assistant Professor, Department of
Endocrinology, BIHS General Hospital,
Dhaka, Bangladesh.
Email: mahabubssmc@gmail.com
Orcid ID: 0000-0003-0657-5318
3
Associate Professor, Department of
Medicine, Sir Salimullah Medical College
and Mitford Hospital, Dhaka, Bangladesh.
Email: dr.helal.uddin@gmail.com
Orcid ID: 0000-0002-9157-8195
4
Medical Officer, Department of Medicine,
Sir Salimullah Medical College and Mitford
Hospital, Dhaka, Bangladesh.
Email: lutfarssmc@gmail.com
Orcid ID: 0000-0002-6000-8333
5
Registrar, Department of Medicine, Sir
Salimullah Medical College and Mitford
Hospital, Dhaka, Bangladesh.
Email: alimssmc30@gmail.com
Orcid ID: 0000-0001-6833-2739
6
Medical Officer, Department of Medicine,
Sir Salimullah Medical College and Mitford
Hospital, Dhaka, Bangladesh.
Email: arefinshetu18@gmail.com
Orcid ID: 0000-0001-9644-2580
7
Medical Officer, Department of Medicine,
Sir Salimullah Medical College and Mitford
Hospital, Dhaka, Bangladesh.
Email: nahardmc18@gmail.com
Orcid ID: 0000-0002-5149-0113
8
Assistant Professor, Department of
Medicine, Sir Salimullah Medical College
and Mitford Hospital, Dhaka, Bangladesh.
Email: mahrinssmc@yahoo.com
Orcid ID: 0000-0002-1467-591X
*Corresponding author
Abstract
Background: Thyroid disorders and diabetes mellitus are common
endocrine disorders that often coexist and can significantly impact each
other's management. The American Diabetes Association recommends that
people with diabetes be periodically screened for thyroid dysfunction due
to the strong link between the two conditions. It is important for individuals
to be aware of the risk factors for both conditions and to seek appropriate
medical care if necessary, and for healthcare providers to consider testing
for thyroid dysfunction in adults with newly detected type 2 diabetes
mellitus. The aim of the study was to find out thyroid dysfunction in adults
with newly detected type 2 diabetes mellitus. Material & Methods: This
cross-sectional, descriptive study was conducted at the Departments of
Medicine and Endocrinology at Sir Salimullah Medical College and Mitford
Hospital in Dhaka. The study period lasted six months, from May to
October 2019. A total of 102 adult patients (above 20 years old) with newly
diagnosed type 2 diabetes mellitus who were attending the Endocrinology
and Medicine Outpatient Department participated in the study. Results:
Out of 102 adults with newly detected type 2 diabetes mellitus, the majority
(86.3%) had normal thyroid function (euthyroid), while a smaller number
(13.7%) had thyroid dysfunction. The most common subgroup of thyroid
dysfunction was subclinical hypothyroidism (7.8%), followed by
hypothyroidism (3.9%), subclinical thyrotoxicosis (1.0%), and
hyperthyroidism (1.0%). The majority of the study population was male
(66%) and from urban areas (88%), with a mean age of 45.1 years, a mean
BMI of 25.0 kg/m2, and a mean waist circumference of 98.4 cm. About 45%
had a family history of diabetes mellitus and 37% were smokers. The blood
pressure of the study population was within normal limits. A minority
(30%) had co-morbidities such as hypertension, dyslipidemia, and ischemic
heart disease. The predictors of thyroid dysfunction were observed Age
(OR=0.785), F/H of thyroid disorder (OR=0.495) BMI (OR=1.059), Anti-TPO
Ab(OR= 0.021). Conclusion: Thyroid dysfunction and diabetes are
commonly associated with each other and can impact clinical presentation
and laboratory results. It is important to routinely screen for thyroid
function in all patients with type 2 diabetes mellitus to detect, treat, and
prevent complications of both these conditions.