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Does Intake Of Thyronorm Cause Diabetes?
Question: I am 32 years old male I have been taking Thyronorm 50 mcg for last 4 years. recently I have noticed changes in my blood glucose level , seems like prediabetic or borderline of type 2 diabetes. I have family history of TYpe diabetes. But they all got after 45 yrs only. So I am wondering is am getting dibetes because of hypothyroidism or those two are connected ?
Brief Answer:
Some connection
Detailed Answer:
Indeed there is a potential link between the two albeit not very strong.
Untreated or under-treated 'hypothyroidism' (for which you take thyronorm), can lead to abnormal glucose levels. These can possibly revert to normal after appropriate treatment.
Conversely, having type 2 diabetes has been associated with a slightly higher risk of hypothyroidism in some studies.
The best approach is to ensure adequate treatment of the hypothyroidism and then get checked regularly for type 2 diabetes for life.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 12 hour Fasting Lipid profile
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Some connection
Detailed Answer:
Indeed there is a potential link between the two albeit not very strong.
Untreated or under-treated 'hypothyroidism' (for which you take thyronorm), can lead to abnormal glucose levels. These can possibly revert to normal after appropriate treatment.
Conversely, having type 2 diabetes has been associated with a slightly higher risk of hypothyroidism in some studies.
The best approach is to ensure adequate treatment of the hypothyroidism and then get checked regularly for type 2 diabetes for life.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 12 hour Fasting Lipid profile
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you very much for your quick responds. So you are thinking under treated hypothyrodism also may lead to blood sugar variation. I am in New Zealand right now But i prefer to get treatment fom XXXXXXX . So i have query that is it possible for a endocrinologist can diagnose this issue with few blood test and couple of appointments as i could be in XXXXXXX few days.
Brief Answer:
Follow up
Detailed Answer:
It should be feasible for an endocrinologist in XXXXXXX to complete your evaluation in a couple appointments. After that, if there is a provision for a phone consultation for any longer follow up matter, it would be ideal
Follow up
Detailed Answer:
It should be feasible for an endocrinologist in XXXXXXX to complete your evaluation in a couple appointments. After that, if there is a provision for a phone consultation for any longer follow up matter, it would be ideal
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. Chakravarthy Mazumdar
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