THỰC TRẠNG SUY GIÁP Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG TYPE 2 CAO TUỔI

Abstract

Objective: To investigate the prevalence of hypothyroidism in elderly patients with type 2 diabetes and analyze some associated factors. Study Population and Methods: A cross-sectional description was conducted on over 410 patients aged 60 and above, who were diagnosed with type 2 diabetes based on the ADA 2018 criteria or the 2018 Diabetes Diagnosis Criteria of the Ministry of Health, from July 2022 to August 2023 at the Department of Medical Examination – Traditional Medicine Hospital, Ministry of Public Security, Hanoi, Vietnam. Results: A total of 410 patients participated in the study with a mean age of 69.3 ± 6.67, of which 58.29% were females, stage I hyportension was present in 52.7%, and overweight/obesity was present in 61.9%. Common symptoms included fatigue (89.50%), and left-sided chest pain (19.50%). The prevalence of hypothyroidism was 17.07%, with 2.68% currently under treatment, 1.95% newly diagnosed primary hypothyroidism, and 12.44% subclinical hypothyroidism. The highest prevalence of hypothyroidism was in the age group 60-69: 9.8%; age group 70-79: 4,9%, ≥ 80 age group: 2,4%. According to gender: 11.2% in females, and 5.9% in males (p > 0.05). Conclusion: Hypothyroidism and subclinical hypothyroidism are more prevalent in elderly patients with type 2 diabetes compared to other groups. Thyroid hormone testing should be considered for this population, along with adjusting associated factors and hormone replacement therapy if necessary to improve clinical symptoms