Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These Following Lab Reports Indicate?
Question: MY TSH IS 13 AND a recent sonogram found a nodule on my thyroid, type 2 diabetic fasting blood sugar is 220-260, have been on thyroid medicatios ( synthroid and cytomel )for years, take metforim and glyburide ( 4 per day)for diabletes, XXXXXXX hump on neck,
My guestion is , I continue to gain weight, could high tsh be affecting my blood sugar
My guestion is , I continue to gain weight, could high tsh be affecting my blood sugar
Brief Answer:
Inerconnected hormonal issues and diabetes
Detailed Answer:
Good day,
Noted your question and the history provided. I gather that you have diabetes, hypothyroidism and weght gain. The weight gain was after using steroids and if got right, you are not using steroids (prednisone) after the age of 45 .
TSH is 13 which means that the hypothyroidism is not well controlled. This can contribute to weight gain and uncontrolled diabetes. However, there is an other side of story too. Weight gain increase the requirement of thyroxine (synthroid) and that way TSH can increase too.
You mentioned about XXXXXXX hump which is usually seen in obesity. However, we need to consider another hormonal disorder called as Cushing's syndrome which can cause weght gain and uncontrolled diabetes. You had used prednisone in the past which also could have caused the XXXXXXX hump.
A thorugh history and physical examination is needed before doing investigations in your case.
I would strongky recommend to meet an endocrinologist in person rather than a Internist or Physician due to the complexity of the problem..
Regards
Binu
Inerconnected hormonal issues and diabetes
Detailed Answer:
Good day,
Noted your question and the history provided. I gather that you have diabetes, hypothyroidism and weght gain. The weight gain was after using steroids and if got right, you are not using steroids (prednisone) after the age of 45 .
TSH is 13 which means that the hypothyroidism is not well controlled. This can contribute to weight gain and uncontrolled diabetes. However, there is an other side of story too. Weight gain increase the requirement of thyroxine (synthroid) and that way TSH can increase too.
You mentioned about XXXXXXX hump which is usually seen in obesity. However, we need to consider another hormonal disorder called as Cushing's syndrome which can cause weght gain and uncontrolled diabetes. You had used prednisone in the past which also could have caused the XXXXXXX hump.
A thorugh history and physical examination is needed before doing investigations in your case.
I would strongky recommend to meet an endocrinologist in person rather than a Internist or Physician due to the complexity of the problem..
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Now 61 and weight is 215
Have had XXXXXXX hump before I was overweight, sometimes in painful
Have had XXXXXXX hump before I was overweight, sometimes in painful
Brief Answer:
Tests for cushing's syndrome
Detailed Answer:
Thank you for the reply. Okay, in that case, we may have to run few tests to rule out cushing's syndrome. You may need to meet an endocrinologist for this. Diabates control should be optimised before doing these tests. recommended tests are, 24 hour urine free cortisol and midnight salivary cortisol.
Tests for cushing's syndrome
Detailed Answer:
Thank you for the reply. Okay, in that case, we may have to run few tests to rule out cushing's syndrome. You may need to meet an endocrinologist for this. Diabates control should be optimised before doing these tests. recommended tests are, 24 hour urine free cortisol and midnight salivary cortisol.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
