Dysthyroidism in Diabetic Pregnant Women

Abstract

Introduction: Dysthyroidism is more commonly found in pregnant women, especially diabetic parturients. The purpose of this study was to evaluate the prevalence of thyroid pathologies in diabetic pregnant patients. Patients and methods: A descriptive study that included 204 diabetic parturients (type 1 diabetes, type 2 diabetes and gestational diabetes) who received a systematic TSH and FT4 assay. Results: Mean age of the population = 31.4 ± 4.6 years. Type 1 diabetes = 16.12%; Type 2 diabetes = 38.25% and gestational diabetes = 45.63%. The total prevalence was 28.43%. Subclinical hypothyroidism was present in 16.67% of cases, true hypothyroidism in 5.88%, transient gestational thyrotoxicosis in 4.90% and hyperthyroidism in 0.98%. Conclusions: The most common pathology is mild hypothyroidism and type 1 diabetics are those with the most dysthyroidism. There remains the question of systematic screening among other diabetic parturients.