Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Can Uncorrected Thyroid Hormones Alter Blood Glucose Levels?
Question: I am diadnosed with reactive hyperinsulinemia and eating a very low carb diet. I have battled this since 2002. I am constantly getting huge attacks of adrenaline, tinnitus,
and panic attacks. When I eat anything, my sugar rapidly drops until I get a huge adrenaline attack. I am about to stop eating at all. I have tried proglycem but my sugar barely rises then falls. I quit smoking, and suspect oxycodone is making it worse, so I am almost off of it and going to see if things improve. I do not have high blood pressure. I have Graves disease treated with radioactive iodine, so now thyroid hormones are low. I take levythyroxine (sp?). In the morning my blood sugar is elevated and I am shaking, sweating, migraine, panic, insomnia. I can't seem to get a handle on it. Two endocrine doctors did not help at all, they just look at the blood sugar level and if its not low then they blow you off-they don't understand that I am running intense adrenaline and that is why its not showing hypoglycemia. Something is very wrong and I don't know what to do.
thx, XXXXXXX
https://www.healthcaremagic.com/UserServlet?page=userProfile
and panic attacks. When I eat anything, my sugar rapidly drops until I get a huge adrenaline attack. I am about to stop eating at all. I have tried proglycem but my sugar barely rises then falls. I quit smoking, and suspect oxycodone is making it worse, so I am almost off of it and going to see if things improve. I do not have high blood pressure. I have Graves disease treated with radioactive iodine, so now thyroid hormones are low. I take levythyroxine (sp?). In the morning my blood sugar is elevated and I am shaking, sweating, migraine, panic, insomnia. I can't seem to get a handle on it. Two endocrine doctors did not help at all, they just look at the blood sugar level and if its not low then they blow you off-they don't understand that I am running intense adrenaline and that is why its not showing hypoglycemia. Something is very wrong and I don't know what to do.
thx, XXXXXXX
https://www.healthcaremagic.com/UserServlet?page=userProfile
Brief Answer:
Some more info needed;
Detailed Answer:
Hello,
Would you please inform me:
-What is the lowest blood sugar you have checked?
-Did you have fasting hypoglycemia?
-Do you need to eat carbohydrates to get out of the situation?
-Are the thyroid hormones corrected with levothyroxine?
-Did you ever checked cortisol level?
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
Some more info needed;
Detailed Answer:
Hello,
Would you please inform me:
-What is the lowest blood sugar you have checked?
-Did you have fasting hypoglycemia?
-Do you need to eat carbohydrates to get out of the situation?
-Are the thyroid hormones corrected with levothyroxine?
-Did you ever checked cortisol level?
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
Above answer was peer-reviewed by :
Dr. Yogesh D
I sent response to your questions-not sure it was actually sent-thx XXXXXXX
resending...
I have lowest glucose at 53, at night I get adrenaline and at around 5:00am I see it at 126,so by the time I get up I probably stimulated alot of insulin. exactly-I do go to carbs when I'm distressed to try to fix the problem. My thyroid is still sluggish and not yet in the correct range for TSH.I don't know cortisone levels. thank you!
regards, XXXXXXX McCann-Steindel
I got an email that you answered my question, but its not showing up-I just have the mail from you asking for additional info. If you have info to tell me can you resend it?
XXXXXXX
resending...
I have lowest glucose at 53, at night I get adrenaline and at around 5:00am I see it at 126,so by the time I get up I probably stimulated alot of insulin. exactly-I do go to carbs when I'm distressed to try to fix the problem. My thyroid is still sluggish and not yet in the correct range for TSH.I don't know cortisone levels. thank you!
regards, XXXXXXX McCann-Steindel
I got an email that you answered my question, but its not showing up-I just have the mail from you asking for additional info. If you have info to tell me can you resend it?
XXXXXXX
Brief Answer:
Synacten stimulation test needed;
Detailed Answer:
Hello,
As you may know, uncorrected thyroid hormones may alter blood glucose.
I do not think it is reactive hypoglycemia as it occurs at during the night and in these cases, organic causes should be excluded.
A synacten stimulation test is also suggested in these cases.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
Synacten stimulation test needed;
Detailed Answer:
Hello,
As you may know, uncorrected thyroid hormones may alter blood glucose.
I do not think it is reactive hypoglycemia as it occurs at during the night and in these cases, organic causes should be excluded.
A synacten stimulation test is also suggested in these cases.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
Above answer was peer-reviewed by :
Dr. Kampana
Thank you-I called my primary doctor to ask him to order synacthen test. He probably won't get back to me until next week. Should I get back with you after that is done? Last night was horrible-all night kept shooting my blood sugar up with adrenaline surges and it seems to want to be at 126 so I am thinking I have insulin resistance?? My chest was so tight and constricted I felt like I was having a heart attack! Can you order something for the anxiety? This is unbearable! Thanks so much.
Regards, XXXXXXX
Regards, XXXXXXX
Brief Answer:
You may try Xanax;
Detailed Answer:
Hello,
Yes, of course, feel free to attach/upload the results of the Synacten stimulation test here only.
Please let me know the report of the thyroid hormone results to decide further suggestions regarding Levothyroxine and its dosage.
I do not know if you can take anxiolytics in your country without a prescription but if you're my patient, I would suggest using Xanax 0.25mg, 1tab in the evening (please discuss with your primary about this).
Hope I have answered your query.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
You may try Xanax;
Detailed Answer:
Hello,
Yes, of course, feel free to attach/upload the results of the Synacten stimulation test here only.
Please let me know the report of the thyroid hormone results to decide further suggestions regarding Levothyroxine and its dosage.
I do not know if you can take anxiolytics in your country without a prescription but if you're my patient, I would suggest using Xanax 0.25mg, 1tab in the evening (please discuss with your primary about this).
Hope I have answered your query.
Take care
Regards,
Dr Mirjeta Guni, Endocrinologist
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
