Blood Pressure Control in a Patient with Primary Hyperparathyroidism, Type 2 Diabetes, and

ABSTR ACT: Effect of parathyroidectomy on glucose control and hypertension is controversial. Here, we report a case of a patient with primary hyper-parathyroidism, type 2 diabetes mellitus, and hypertension in whom parathyroidectomy ameliorated both glucose control and blood pressure. Once high serum calcium levels were noticed, ultrasonography of neck confirmed a well-defined oval hypoechoic mass posterior to the right lobe of the thyroid, confirmed by scintiscan. Parathyroidectomy resulted in improvement of blood pressure and blood glucose. We could stop insulin and antihypertensive medications. We conclude that in patients with type 2 diabetes with vague complaints like fatigue, body ache, and refractory hypertension, as a part of the diagnostic workup, clinicians should also check serum calcium levels and parathyroid hormone to rule out hyperparathyroidism. Correction of hyperpara-thyroidism may result in improvement of hypertension and glucose control. KEY WORDS: calcium, hyperparathyroidism, parathyroidectomy, glucose control, hypertension CITATION: Kumar and singh. Parathyroidectomy ameliorates glucose and blood Pressure Control in a Patient with Primary hyperparathyroidism, type 2 diabetes, and hypertension. Clinical Medicine Insights: Endocrinology and Diabete