תת-תריסיות (היפותירואידיזם) מלווה בסיכון גבוה יותר להתפתחות סוכרת

בישראל, כ 4% מהאוכלוסיה סובלת מתתתריסיות וחלק מהחולים נזקקים לטיפול בתרופות כמו אלטרוקסין ואיוטירוקס. בהשוואה לאוכלוסיה הכללית, חולים הסובלים מסוכרת מבוגרים סובלים מתתתריסיות בשכיחות גבוהה יותר (10-12%) והסיכון אפילו גבוה יותר בקרב חולים עם סוכרת נעורים (ומגיע לכ 12-24%). לכן, חולים הסובלים מסוכרת, בין אם סוכרת מבוגרים או סוכרת נעורים, נזקקים למעקב אחר תפקודי בלוטת התריס ואם אלה מופרעים רצוי לשקול מתן טיפול הולם. הנתונים הללו מעלים שאלה הפוכה: האם תתתריסיות מלווה בסיכון גבוה יותר להתפתחות מחלת הסוכרת?

מחקר הולנדי שהוצג בתחילת החודש בכנס החברה האמריקאית לאנדוקרינולוגיה מלמד כי אנשים הסובלים מתתתריסיות, ואפילו אנשים עם תפקוד בלוטת תריס הנמצא בגבול התחתון של מה שנחשב לפעילות תקינה של הבלוטה, נמצאים בסיכון גבוה יותר להתפתחות סוכרת. יתרה מזו, הסיכון להתפתחות סוכרת גבוה במיוחד אם ההפרעה בתפקוד בלוטת התריס מופיעה באנשים עם רמות סוכר בדם הגבוהות במידה מתונה בלבד (בטווח שבין 106-125). לפרטים נוספים על המחקר:

https://endo.confex.com/endo/2016endo/webprogram/Paper24901.html

לכן, אם אתם סובלים מתתתריסיות או אם תפקוד בלוטת התריס שלכם נמצא בגבול התחתון של מה שנחשב כתפקוד תקין של הבלוטה, רצוי להפנות את תשומת ליבו של רופא המשפחה לבדיקות הסוכר שלכם. זה נכון במיוחד אם רמות הסוכר שלכם בצום מוגברות במידה מתונה (בין 106-125). במקרה כזה הסיכון לפתח מחלת סוכרת גבוה יותר ויש לעשות כל מאמץ לרדת במשקל, לבצע פעילות גופנית מסודרת ולהשאר במעקב צמוד של רופא המשפחה.

האם טיפול בתתתריסיות ימנע את הופעת הסוכרת? התשובה לשאלה הזו אינה ברורה עדיין ונצטרך להמתין למחקרים נוספים.

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