Prevalance of gestational diabetes mellitus in patients with gestational transient thyrotoxicosis

摘要

Objective: To investigate prevalence of gestational diabetes mellitus (GDM) in patients with gestational transient thyroxicosis (GTT).Methods: Fifty two patients with GTT and 100 age matched healthy pregnant women were included. Fasting plasma glucose (FPG), hemoglobin Ale (HbA1c), LDL-cholesterol, HDL-cholesterol, triglyceride, thyrotrophin (TSH) and thyroid hormones were measured at thyrotoxic state in GTT patients and at 6-12th weeks of pregnancy in control group. Oral glucose tolerance test (OGTT) with 100g glucose was performed and laboratory parameters were re-evaluated at 24-28th weeks of pregnancy in all subjects.Results: Mean age of patients with GTT was 28.46 + 5.45 and control group was 27.78 + 3.75(p = 0.085). Patients with GTT had significantly higher HbAic, LDL-cholesterol and HDL-cholesterol at 6-12th weeks of pregnancy (p<0.01, p<0.01 and p = 0.034, respectively). TSH was negatively correlated with HbAic and LDL-cholesterol in thyrotoxic state in GTT patients (r= -0.393, p<0.001 and r= -0.293, p<0.001, respectively). OGTT showed GDM in 7 (13.5%) GTT patients and 4 (4%) healthy pregnants (p = 0.047). HbA1c, LDL-cholesterol and HDL-cholesterol were higher in GTT patients compared to healthy pregnants also at 24-28th weeks of pregnancy (p< 0.001, p< 0.001 and p = 0.024).Conclusion: Although GTT is known to be a transient state that can resolve spontaneously, it might have negative effect on carbohydrate metabolism like other causes of hyperthyroidism.