摘要

Background and objectives: Autoimmune thyroid diseases are frequent in patients with type 1 diabetes mellitus. The aim of our study was to determine the incidence of autoimmune thyroid diseases (AIT) in the different groups of patients with DM (DM type 1 - classical form, DM type 1 - subtype LADA, DM type 2) and compare the incidence of AIT among the groups as well as to the control group of non-diabetics. We also focused our attention on the factors that influence the risk of thyroid diseases incidence in diabetics.
Patients and methods: We examined 79 diabetics (38 women and 41 men, x=55.4+/-2.8). Diabetic patients were divided into three groups. The control group consisted of 30 non-diabetics.
Results: Chronic autoimmune thyroiditis was diagnosed in 8 (40%) patients in the first group, in 6 (50%) in the 2nd group of patients and finally in 20 (43%) patients with type 2 diabetes mellitus - 3rd group. A significantly higher prevalence of chronic autoimmune thyroiditis was observed in female diabetics and in diabetics with positive family history of thyroid diseases.
Conclusion: Results of paper confirm an increased prevalence of chronic autoimmune thyroiditis in patients with all types of diabetes mellitus resulting in recommendation of careful follow-up of all diabetic patients for presence of thyroid autoimmunity.