The Prevalence Study of Thyroid Disease in Geriatric Diabetes Patients in Jiangsu

Objective:To describe the prevalence rate of thyroid disease in geriatric patients with diabetes.Methods:A cross-sectional study was underwent among 219 geriatric diabetic patients and 215 no-geriatric patients,serum thyroid function was measured and thyroid ultrasound was estimated in some of them.Results:(1)The prevalence rate of thyroid disease was 27.40% in 219 geriatric diabetic patients,no significant differences was found between male and female.The prevalence rate of subclinical hypothyroidism was 15.53 %,which was much higher than that of other thyroid diseases(clinical hyperthyroidism 2.28%,clinical hypothyroidism 5.48% and subclinical hyperthyroidism 4.11%,respectively).(2)The prevalence rates of subclinical hyperthyroidism and subclinical hypothyroidism in geriatric diabetic patients were significantly higher than those of no-geriatric diabetic patients(P0.05),while the rate of hyperthyroidism was lower than that of no-geriatric diabetic patients(P0.05),and the prevalance of hypothroidism was not found significantly difference between geriatric and no-geriatric diabetic patients.(3)The prevalence rate of thyroid nodules in geriatric diabetic patients was 51.79%,which was significantly higher than that of no-geriatric diabetic patients(P0.05),but no significant difference was found between male and female.Conclusion:It is common that thyroid disease is combined with diabetes in geriatric diabetic patients,which may affects the results and treatment.It is important to check out and follw up thyroid function and thyroid ultrasound in geriatric diabetic patients.Meanwhile to explore pathogenesis of diabetes mellitus combined with thyroid disease has important clinical value.