Effects of body mass index on glucose and lipid metabolism,hepatic,renal and thyroid function in newly diagnosed type 2 diabetes mellitus patients with normal serum TSH
Objective:To explore the relationship between body mass index(BMI)and different metabolic variables(glucose and lipid metabolism,hepatic,renal and thyroid function)in newly diagnosed type 2 diabetes mellitus patients with normal serum TSH. Methods:We retrospectively collected clinical data from 156 newly diagnosed type 2 diabetes mellitus patients with normal serum TSH in our center,including gender,age,BMI,alanine aminotransferase(ALT),γ-glutamyltransferase(γ-GT),blood urea nitrogen(BUN),creatinine(Cr),uric acid(UA),fasting plasma glucose(FPG),fasting C-peptide(CP),fasting insulin(FINS),glycosylated hemoglobin A1c(HbA1c),insulin resistance(HOMA-IR),triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),free triiodothyronine(FT3),free thyroxin(FT4),thyroid stimulating hormone(TSH). All the patients were divided into the obesity group(BMI ≥28.0 kg/m2),the overweight group(24.0 kg/m2≤BMI<28.0 kg/m2)and the normal weight group(BMI<24.0 kg/m2)according to BMI. The differences of metabolic variables among three groups and the correlation between BMI and different metabolic variables were analyzed. Results:Levels of ALT,γ-GT,TC,FINS,HOMA-IR,CP and TSH among groups were significantly different(P < 0.05). After adjustment for gender,age and HBA1c,levels of ALT,γ-GT,FINS,HOMA-IR,CP and TSH increased with the increase of BMI(r=0.22,0.19,0.36,0.38,0.27,0.22,P < 0.05). Conclusion:BMI could significantly affect ALT,γ-GT,TC,FINS,HOMA-IR,CP and TSH in newly diagnosed type 2 diabetes mellitus patients with normal serum TSH. Besides,ALT,γ-GT,FINS,HOMA-IR,CP and TSH were positively correlated with BMI. TSH level could serve as an index in evaluating metabolic disorder and follow-up in newly diagnosed type 2 diabetes mellitus,especially with obesity.