
What Do These FBS Levels And TSH Levels Indicate?

age-32.
Weight - 75
Height - 5 ft 8 inches
Fasting glucose - 100
Post lunch glucose - 129
A1C - 5.7
TSH- 8
Tryglicerides - 310
He increased his work out, NO Medication. Cut down his carbs and now the values:
Weight - 70
FBS-102
Post lunch glucose-129
A1C-5.4
TSH-9.8
Tryglicerides - 270
Fasting glucose has increased even after reducing the weight. IS TSH a culprit here. Please advice.
Please start on thyroid medications
Detailed Answer:
Hi XXXXXXX
Welcome to HCM. I have gone through the question and understand your concerns.
He is having subclinical hypothyroidism - a small decrease in thyroid gland function, Prediabetes - fasting sugars borderline elevated, after food and HbA1c normal now, Triglycerides is high- could be due to thyroid problem.
It is better that you get started on a small dose of thyroid hormones ( like 25 mcg per day) and retest the blood parameters after 2 months. There is no need for medications for pre diabetes as of now. If triglycerides are not normalised after correction of thyroid problem, you must get started on medications for decreasing triglycerides.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist


Thanks in advance!! XXXXXXX
This is unrelated to elevated TSH
Detailed Answer:
Hi XXXXX,
This is unrelated to elevated TSH. He can continue with lifestyle modifications an regular monitoring of FBS, PPBS and HbA1c. We shouldn't be worried of a sing elevated FBS when other parameters are normal.
regards
Dr Ajish TP

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