FUNCTIONAL ADAPTATION OF THYROID GLAND IN POSTMENOPAUSAL WOMEN WITH AND WITHOUT DIABETES

Authors

  • Shehwar Nadeem Assistant Principal Medical Officer, Nawaz Sharif Social Security Hospital, Lahore, Pakistan
  • Qasim M. Janjua Assistant Principal Medical Officer, Nawaz Sharif Social Security Hospital, Lahore, Pakistan
  • Maimoona Nasreen Department of Physiology, University College of Medicine and Dentistry
  • Qurrat-ul-ain Leghari Department of Physiology, University College of Medicine and Dentistry
  • Amir Iqbal Nawaz Sharif Social Security Hospital
  • Abdul Majeed Cheema Institute of Molecular Biology and Biotechnology, The University of Lahore, Pakistan
  • Samina Malik Department of Physiology, University College of Medicine and Dentistry

Keywords:

diabetics, postmenopausal, premenopausal, Thyroid profile

Abstract

Background: Prevalence of thyroid disorders in general population and in patients suffering from diabetes mellitus is inconsistent in different populations. The combined effect of thyroid dysfunction and diabetes in postmenopausal age may have its specific adaptations from the normal set up. The thyroid profile can provide a link between thyroid and diabetic postmenopausal women of variable ages. The study was designed to compare Thyroid stimulating hormone (TSH), Total thyroxine (TT4), Total triiodothyronine (TT3), Free thyroxine (FT4) and Free triiodothyronine (FT3) in non-diabetic postmenopausal, diabetic postmenopausal and premenopausal non-diabetic females. Methods: A total of 78 females from Lahore, Pakistan were recruited for the study and were divided into three groups: diabetic postmenopausal (n=32), non-diabetic postmenopausal (n=33) and premenopausal non-diabetic (n=13). Participant’s serum sample was collected after written informed consent and analyzed for the above mentioned thyroid parameters by using ELISA. Results: TT4 was significantly greater in diabetic post-menopausal as compared to premenopausal. In diabetic subjects TT3 and FT3 were significantly lower as compared to non-diabetic postmenopausal. Compared to diabetic postmenopausal subjects FT3 level was significantly greater in premenopausal subjects. Conclusion: Thyroid gland appears to adapt its function in postmenopausal diabetic and non-diabetics. However, studies on larger population are required for a clear picture.

Pak J Physiol 2017;13(4):34–7

Downloads

Download data is not yet available.

References

1. Wu P. Thyroid disease and diabetes. Clin Diabetes 2000;18(1):38.
2. Del Ghianda S, Tonacchera M, Vitti P. Thyroid and menopause. Climacteric 2014;17(3):225–34.
3. Walfish PG. Thyroid disease in late life. 2014. available from: www.thyroid.ca/elderly.php
4. Pearce EN. Thyroid dysfunction in perimenopausal and postmenopausal women. Menopause Int 2007;13(1):8–13.
5. Oi N, Ohi K. Comparison of the symptoms of menopause and symptoms of thyroid disease in Japanese women aged 35–59 years. Climacteric 2013;16(5):555–60.
6. Zárate A, Basurto L, Saucedo R, Hernández VM. Thyroid dysfunction: a topic of constant review for the gynaecologist, for its frequency in women. Ginecologia y Obstetricia de Mexico 2009;77(2):96–102.
7. Hage M, Zantout MS, Azar ST. Thyroid disorders and diabetes mellitus. J Thyroid Res 2011;2011.
8. Chubb SA, Davis WA, Inman Z, Davis TM. Prevalence and progression of subclinical hypothyroidism in women with type 2 diabetes: the Fremantle Diabetes Study. Clin Endocrinol 2005;62(4):480–6.
9. Peeters RP. Thyroid hormones and aging. Hormones Athens 2008;7(1):28.
10. Harman D. Aging: overview. Ann NY Acad Sci 2001;928(1):1–21.
11. Custro N, Scafidi V. Mild hyperthyroidism with inappropriate secretion of TSH in postmenopausal women. Acta Endocrinologica 1986;111(2):204–8.
12. Vikhe VB, Kanitkar SA, Tamakuwala KK, Gaikwad AN, Kalyan M, Agarwal RR. Thyroid dysfunction in patients with type 2 diabetes mellitus at tertiary care center. Nat J Med Res 2013;3(4):377–80.
13. Davina H. Thyroid dysfunction in type 2 Diabetes Mellitus: A retrospective study. Indian J Endocrinol Metab 2012;16 (Suppl 2):S334–S335.
14. Barmpari ME, Kokkorou M, Micheli A, Alexiou I, Spanou E, Noutsou M, et al. Thyroid dysfunction among Greek patients with Type 1 and Type 2 diabetes mellitus as a disregarded comorbidity. J Diabetes Res 2017;2017:1–7.

Published

31-12-2017

How to Cite

1.
Nadeem S, Janjua QM, Nasreen M, Leghari Q- ul- ain, Iqbal A, Cheema AM, et al. FUNCTIONAL ADAPTATION OF THYROID GLAND IN POSTMENOPAUSAL WOMEN WITH AND WITHOUT DIABETES. Pak J Phsyiol [Internet]. 2017 Dec. 31 [cited 2024 Apr. 25];13(4):34-7. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/286

Issue

Vol. 13 No. 4 (2017): Pakistan Journal of Physiology

Section

Original Article

License

Pakistan Journal of Physiology, Pak J Physiol, PJP is FREE for research and academic purposes. It can be freely downloaded and stored, printed, presented, cited and quoted with full reference of, and acknowledgement to the PJP.