Type 2 Diabetes And Thyroid Dysfunction TCM Symptoms Studies

[objective] Analysis of type2diabetes mellitus and TCM symptomatology characteristics of thyroid dysfunction。[method] the second clinical hospital in Beijing university of Chinese medicine east hospital endocrinology in patients with type2diabetes in the hospital, in March2011to March2013accord with standard of1510patients, according to the2011guidelines to prevent and control of diabetes in TCM syndrome differentiation type was divided into5groups, respectively is heat sheng jin injury type, phlegm damp heat exchange junction, qi and Yin deficiency, liver and kidney Yin deficiency, Yin and Yang are two deficiency type;Record thyroid function in patients with index analysis, investigation and the incidence of abnormal, choose thyroid dysfunction group further comparative analysis.[results] of1510cases of patients with type2diabetes, thyroid function abnormalities in253patients, the prevalence rate of16.75%.Thyroid dysfunction but does not meet the diagnostic criteria of a total of80cases.This study observed into standard diagnostic criteria of traditional Chinese and western medicine cases of thyroid dysfunction, including thyroid function hyper function (hyperthyroidism and subclinical hyperthyroidism), hypothyroidism (JiaJian, subclinical JiaJian), low T3syndrome, a total of173patients, the prevalence rate of11.45%.1.05%of hyperthyroidism, JiaJian1.05%,0.52%subclinical hyperthyroidism and subclinical JiaJian6.29%, low T31.52%, the prevalence of subclinical JiaJian up to6.29%.Abnormal thyroid function in patients with type2diabetes cases women in113patients (65.3%), men with60cases (34.7%), women than men group,173cases of patients with type2diabetes according to patients’ age is divided into15to39,40to59,60to79years and more than80years of four groups, in25to60s, JiaJian and the prevalence of subclinical JiaJian increases, the incidence of parabolic, high-risk age in40to60years old, after gradually reduce, this and the risk of developing diabetes and JiaJian age is20-70years, the incidence of hyperthyroidism is concentrated in the ages of40and60ages, subclinical JiaJian between40and80years old with85cases accounted for89.5%of the total number of subclinical JiaJian.According to the course of the disease in patients with less than1year,1to10years,10to20years and more than20years in four stages, with the increase of duration of diabetes, thyroid function hyperfunction of the low prevalence of hypothyroidism group;Selected173patients, heat sheng jin injury11cases, accounting for6.4%;Phlegmy wet and heat exchange by27cases, accounting for15.6%;Qi and Yin deficiency syndrome in70cases, accounting for40.5%;Two of Yin and Yang deficiency syndrome,21cases (12.1%);Liver and kidney Yin deficiency syndrome in44cases, accounting for25.4%. [conclusion](1) in patients with type2diabetes with subclinical impairment is seen, prevalence increases, in25to60s, JiaJian and the prevalence of subclinical JiaJian increases, the incidence of parabolic, high-risk age in40to60years old, after gradually reduce, and women as common;(2) JiaJian conditions with two deficiency of Yin and Yang, subclinical JiaJian conditions with qi and Yin deficiency, hyperthyroidism with phlegm damp heat knot each card is given priority to, give priority to with liver and kidney Yin deficiency USES, under the condition of low T3, subclinical hyperthyroidism card type uniform distribution, there is no Yin deficiency type.(3) in patients with type2diabetes syndrome from phlegm damp and hot alternating knot-two qi and Yin deficiency syndrome, liver and kidney Yin deficiency, Yin deficiency syndrome and evolution, the thyroid hormone change obviously.Heat sheng jin injury syndrome type2diabetes mellitus, mutual "may be due to the short duration of phlegm damp heat, light condition, deficient not more apparent, qi and Yin deficiency syndrome and Yin and Yang deficiency, liver and kidney Yin deficiency syndrome general course of long, gradually advanced disease, with varying degrees of complications, more1to10years in patients with type2diabetes with subclinical JiaJian as the main performance, more than20years gradually become JiaJian state.(4) Increase in blood sugar in type2diabetic patients with hyperthyroidism to phlegm damp and hot junction is given priority to, in the heat treatment on the application of wet expectorant method will help to lower blood sugar, JiaJian, subclinical JiaJian, low T3syndrome with deficiency syndrome is given priority to, in the face can be based on the principle of benefit Yin Yang, actively treating the primary disease.