association of diabetes and hyperthyroidism in Basrah

ABSTRACT

The aim of this study was to determine the effect of hyperthyroidism on diabetes in a single center in Basrah. During the period from November 2006 to September 2009, 44 patients with concomitant diabetes and hyperthyroidism were observed at Al-Faiha Diabetes and Endocrine Center in Basrah [Southern Iraq]. The diabetes diagnosis was made before the onset of hyperthyroidism in 27 [61.4%], after in 15 [34.1%] and at same time in 2 [4-5%]. The mean HbA1c before the control of hyperthyroidism was 9.48 +/- 2.07 percent and it was 7.49 +/- 0.9 percent after control of hyperthyroidism or induction of remission. Of those with diabetes before the onset of hyperthyroidism, the suspicion of hyperthyroidism was based on symptoms and deterioration in the control of diabetes and in 7 patients the symptoms of hyperthyroidism was subtle and realized mainly on biochemical diagnosis. A deleterious effects of hyperthyroidism on diabetes control was observed. In areas of limited resources where thyroid function is not readily available, screening for hyperthyroidism in uncontrolled diabetes seems to be justifiable