Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient
This is a case of 51 year-old woman with uncontrolled type 2 diabetes mellitus which was diagnosed 1.5 year earlier, obesity with body mass index 32.2 kg/m2, waist circumference of 113 cm, diffuse goiter with neck circumference 40 cm, and hypertension with blood pressure >140/90 mmHg. Since 6 mon...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Interna Publishing
2016-09-01
|
| Series: | Acta Medica Indonesiana |
| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/154 |
| _version_ | 1819154661118050304 |
|---|---|
| author | Dante S Harbuwono Laurentius A Pramono Hari Hendarto Imam Subekti |
| author_facet | Dante S Harbuwono Laurentius A Pramono Hari Hendarto Imam Subekti |
| author_sort | Dante S Harbuwono |
| collection | DOAJ |
| description | This is a case of 51 year-old woman with uncontrolled type 2 diabetes mellitus which was diagnosed 1.5 year earlier, obesity with body mass index 32.2 kg/m2, waist circumference of 113 cm, diffuse goiter with neck circumference 40 cm, and hypertension with blood pressure >140/90 mmHg. Since 6 months ago, she often seemed like having less concentration or daydreaming, chronic fatigue, depression, and low food intake. Her body weight had been increasing over time. Her hypothyroidism clinical scoring Billewicz and Zulewski criterias were 17 and 8 respectively, showing that she tended to experience hypothyroidism. From laboratory examination, fasting blood glucose was 216 mg/dL and 2-hour postprandial blood glucose was 320 mg/dL with level of HbA1c was 9.9%, triglyceride level was 486 mg/dL, HDL cholesterol 46 mg/dL, LDL cholesterol 157 mg/dL, and total cholesterol was 269 mg/dL. Thyroid ultrasound showed a diffuse goiter in both lobes of her thyroid gland. |
| first_indexed | 2024-12-22T15:24:37Z |
| format | Article |
| id | doaj.art-8a7e814c71114b32bd481b9036705aac |
| institution | Directory Open Access Journal |
| issn | 0125-9326 2338-2732 |
| language | English |
| last_indexed | 2024-12-22T15:24:37Z |
| publishDate | 2016-09-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj.art-8a7e814c71114b32bd481b9036705aac2022-12-21T18:21:31ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322016-09-01482151Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus PatientDante S Harbuwono0Laurentius A Pramono1Hari Hendarto2Imam Subekti3Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, St. Carolus Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaThis is a case of 51 year-old woman with uncontrolled type 2 diabetes mellitus which was diagnosed 1.5 year earlier, obesity with body mass index 32.2 kg/m2, waist circumference of 113 cm, diffuse goiter with neck circumference 40 cm, and hypertension with blood pressure >140/90 mmHg. Since 6 months ago, she often seemed like having less concentration or daydreaming, chronic fatigue, depression, and low food intake. Her body weight had been increasing over time. Her hypothyroidism clinical scoring Billewicz and Zulewski criterias were 17 and 8 respectively, showing that she tended to experience hypothyroidism. From laboratory examination, fasting blood glucose was 216 mg/dL and 2-hour postprandial blood glucose was 320 mg/dL with level of HbA1c was 9.9%, triglyceride level was 486 mg/dL, HDL cholesterol 46 mg/dL, LDL cholesterol 157 mg/dL, and total cholesterol was 269 mg/dL. Thyroid ultrasound showed a diffuse goiter in both lobes of her thyroid gland.http://www.actamedindones.org/index.php/ijim/article/view/154 |
| spellingShingle | Dante S Harbuwono Laurentius A Pramono Hari Hendarto Imam Subekti Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient Acta Medica Indonesiana |
| title | Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient |
| title_full | Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient |
| title_fullStr | Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient |
| title_full_unstemmed | Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient |
| title_short | Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient |
| title_sort | improvement of metabolic parameters resulted from levothyroxine therapy in hypothyroid type 2 diabetes mellitus patient |
| url | http://www.actamedindones.org/index.php/ijim/article/view/154 |
| work_keys_str_mv | AT dantesharbuwono improvementofmetabolicparametersresultedfromlevothyroxinetherapyinhypothyroidtype2diabetesmellituspatient AT laurentiusapramono improvementofmetabolicparametersresultedfromlevothyroxinetherapyinhypothyroidtype2diabetesmellituspatient AT harihendarto improvementofmetabolicparametersresultedfromlevothyroxinetherapyinhypothyroidtype2diabetesmellituspatient AT imamsubekti improvementofmetabolicparametersresultedfromlevothyroxinetherapyinhypothyroidtype2diabetesmellituspatient |