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Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient

ACTA MEDICA INDONESIANA · Vol. 48 No. 2 (2016) · hlm. 145–147

ISSN
2338-2732, 0125-9326
Terbit
2016-09-21
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

This is a case of 51 year-old woman with uncontrolled type 2 diabetes mellitus which was diagnosed 1.5 year earlier, obesity with body mass index 32.2 kg/m2, waist circumference of 113 cm, diffuse goiter with neck circumference 40 cm, and hypertension with blood pressure >140/90 mmHg. Since 6 months ago, she often seemed like having less concentration or daydreaming, chronic fatigue, depression, and low food intake. Her body weight had been increasing over time. Her hypothyroidism clinical scoring Billewicz and Zulewski criterias were 17 and 8 respectively, showing that she tended to experience hypothyroidism. From laboratory examination, fasting blood glucose was 216 mg/dL and 2-hour postprandial blood glucose was 320 mg/dL with level of HbA1c was 9.9%, triglyceride level was 486 mg/dL, HDL cholesterol 46 mg/dL, LDL cholesterol 157 mg/dL, and total cholesterol was 269 mg/dL. Thyroid ultrasound showed a diffuse goiter in both lobes of her thyroid gland.

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  • University of Indonesia
  • Universitas Teknologi Sumbawa
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Rekan penulisOrganisasiArtikel bersama
Em YunirUniversity of Indonesia6
Hamzah ShatriAfiliasi tidak diketahui4
Suharko SoebardiAfiliasi tidak diketahui4
Dante Saksono HarbuwonoAfiliasi tidak diketahui3
Dyah PurnamasariAfiliasi tidak diketahui3
Kuntjoro HarimurtiAfiliasi tidak diketahui3
Siti SetiatiAfiliasi tidak diketahui3
Laurentius Aswin PramonoAfiliasi tidak diketahui2
Tri Juli Edi TariganUniversity of Indonesia2
Pradana SoewondoAfiliasi tidak diketahui2
Wismandari WisnuAfiliasi tidak diketahui2
Budiman DarmowidjojoAfiliasi tidak diketahui2
Dicky Levenus TahaparyAfiliasi tidak diketahui2
Farid KurniawanAfiliasi tidak diketahui2
Indrati SuroyoAfiliasi tidak diketahui2
Alvita Dewi SiswoyoAfiliasi tidak diketahui2
Soehartati GondhowiardjoAfiliasi tidak diketahui2
Henry KodratAfiliasi tidak diketahui2
Suzanna ImmanuelAfiliasi tidak diketahui2
Rudi PutrantoAfiliasi tidak diketahui2
Juferdy KurniawanAfiliasi tidak diketahui2
Cleopas Martin RumendeAfiliasi tidak diketahui2
Deka LarasatiAfiliasi tidak diketahui2
Yosephine YossyAfiliasi tidak diketahui2
Erni J NelwanAfiliasi tidak diketahui1
Anna M LubisAfiliasi tidak diketahui1
Zubairi DjoerbanAfiliasi tidak diketahui1
Esthika DewiastyAfiliasi tidak diketahui1
Lisnawati LisnawatiUniversitas Teknologi Sumbawa1
Erwin Danil YulianAfiliasi tidak diketahui1
Agnes StephanieAfiliasi tidak diketahui1
Benyamin MakesAfiliasi tidak diketahui1
Benny ZulkarnaienAfiliasi tidak diketahui1
Bambang HermaniAfiliasi tidak diketahui1
Marlinda AdhamAfiliasi tidak diketahui1
M SidikAfiliasi tidak diketahui1

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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Improvement of Metabolic Parameters Resulted from Levothyroxine Therapy in Hypothyroid Type 2 Diabetes Mellitus Patient</dc:title>
	<dc:creator>Harbuwono, Dante S</dc:creator>
	<dc:creator>Pramono, Laurentius A</dc:creator>
	<dc:creator>Hendarto, Hari</dc:creator>
	<dc:creator>Subekti, Imam</dc:creator>
	<dc:description xml:lang="en-US">This is a case of 51 year-old woman with uncontrolled type 2 diabetes mellitus which was diagnosed 1.5 year earlier, obesity with body mass index 32.2 kg/m2, waist circumference of 113 cm, diffuse goiter with neck circumference 40 cm, and hypertension with blood pressure &amp;gt;140/90 mmHg. Since 6 months ago, she often seemed like having less concentration or daydreaming, chronic fatigue, depression, and low food intake. Her body weight had been increasing over time. Her hypothyroidism clinical scoring Billewicz and Zulewski criterias were 17 and 8 respectively, showing that she tended to experience hypothyroidism. From laboratory examination, fasting blood glucose was 216 mg/dL and 2-hour postprandial blood glucose was 320 mg/dL with level of HbA1c was 9.9%, triglyceride level was 486 mg/dL, HDL cholesterol 46 mg/dL, LDL cholesterol 157 mg/dL, and total cholesterol was 269 mg/dL. Thyroid ultrasound showed a diffuse goiter in both lobes of her thyroid gland.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2016-09-21</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/154</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 48 No. 2 (2016): Acta Medica Indonesiana; 145-147</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/154/151</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2016 Acta Medica Indonesiana - The Indonesian Journal of Internal Medicine</dc:rights>
</oai_dc:dc>