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Medical Forum / Diseases and Disorders / Diabetes / December 2005

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Hypothyroid, Synthroid & high A1C ??

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Julie E - 30 Oct 2003 23:01 GMT
(cross-posted to both groups)

I have probably had thyroid problems since diagnosis of diabetes (3 yrs.).
Dr. has just started treating me for thyroid (2 mos.).  I am taking .5
Synthroid.  My A1c has risen from the 5's to 6.1 (9 mos. ago) to 6.8 (3
months ago) to 7.1 (now).  We added more glucophage XR 3 months ago in hopes
of knocking down my numbers.  My TSH went down a little, but my A1c
continues to rise!?!

Dr. keeps saying it is harder to control Diabetes when thyroid is out of
whack.

Any Hypos (thyroid) out there have this happen to them?

Thanks,

Julie E.
T2 - 11/00
Pete - 30 Oct 2003 19:38 GMT
>(cross-posted to both groups)
>I have probably had thyroid problems since diagnosis of diabetes (3 yrs.).
[quoted text clipped - 9 lines]
>Julie E.
>T2 - 11/00

My doc thinks I might have a Thyroid problem. I have some
tests next week to determine whether I have or not. I am of
course concerned but am worried why? Since Dx all sorts of
things are going wrong even though I have managed a fair
degree of BG control etc.

Is it possible that the meds I take might be causing a
problem?

Pete

Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide
+ Asprin 210lbs at Dx to target 174lbs achieved.
To mail: aspen3 at freeuk.com
Julie Bove - 31 Oct 2003 14:53 GMT
> My doc thinks I might have a Thyroid problem. I have some
> tests next week to determine whether I have or not. I am of
[quoted text clipped - 4 lines]
> Is it possible that the meds I take might be causing a
> problem?

I don't think meds can cause a thyroid problem.  But certain meds can cause
diabetes.  Beta Blockers have been linked to diabetes.  Certain steroids can
bring on diabetes.  I'm sure there are others.  Thyroid problems can in some
people bring on diabetes.  There used to be a poster here whose wife was
diagnosed with diabetes and then a thyroid problem.  After the thyroid
problem got under control, she no longer seemed to have diabetes.  I believe
hers is probably a rare case though.

I too have had a ton of things go wrong since being diagnosed with diabetes.
Part of the problem is that when you have more than one medical problem, you
are seeing a lot of different specialists.  Each one wants to focus on his
or her specialty.  So many times I've been told "You have THIS!  You
certainly don't have THAT.  See?  I tested you.  THIS is what it is".  Then
the next specialist I see will tell me "No!  You have this other thing.  It
is THAT, but not what the other Dr. said it is."  And then I have the Drs.
who don't want to commit to anything.  "Well, if HE said you have THAT, then
you have THAT!  Who am I to dispute him?"  Or, "Well, you might have THIS
and you might also have THAT.  But let's not worry about that now.  Lets
just get you feeling better!"

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Type 2
http://users.bestweb.net/~jbove/

Pete - 30 Oct 2003 20:34 GMT
>> My doc thinks I might have a Thyroid problem. I have some
>> tests next week to determine whether I have or not. I am of
>> course concerned but am worried why? Since Dx all sorts of
>> things are going wrong even though I have managed a fair
>> degree of BG control etc.

>> Is it possible that the meds I take might be causing a
>> problem?

>I don't think meds can cause a thyroid problem.  But certain meds can cause
>diabetes.  Beta Blockers have been linked to diabetes.  Certain steroids can
[quoted text clipped - 3 lines]
>problem got under control, she no longer seemed to have diabetes.  I believe
>hers is probably a rare case though.

>I too have had a ton of things go wrong since being diagnosed with diabetes.
>Part of the problem is that when you have more than one medical problem, you
[quoted text clipped - 7 lines]
>and you might also have THAT.  But let's not worry about that now.  Lets
>just get you feeling better!"

I have been assuming that a Thyroid problem would have signs
and symptoms that are  - reasonably discernable and
distinct. Ah well I shall just have to wait and see.

Pete

Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide
+ Asprin 210lbs at Dx to target 174lbs achieved.
To mail: aspen3 at freeuk.com
Julie Bove - 31 Oct 2003 19:52 GMT
> I have been assuming that a Thyroid problem would have signs
> and symptoms that are  - reasonably discernable and
> distinct. Ah well I shall just have to wait and see.

You would think so.  But so many of the symptoms for thyroid can also be
symptoms of something else.  And if you have additional health problems, it
only muddies the waters.  My father in law had an undiagnosed thyroid
problem for years!  He noticed that he was tired, had puffy eyes and was
gaining weight.  But his Dr. kept telling him there was nothing wrong with
him.  Finally my sister in law who is a nurse, went in to the Dr. with him
and demanded they check his thyroid.  Bingo!

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Type 2
http://users.bestweb.net/~jbove/

Pete - 31 Oct 2003 00:53 GMT
>> I have been assuming that a Thyroid problem would have signs
>> and symptoms that are  - reasonably discernable and
>> distinct. Ah well I shall just have to wait and see.

>You would think so.  But so many of the symptoms for thyroid can also be
>symptoms of something else.  And if you have additional health problems, it
[quoted text clipped - 3 lines]
>him.  Finally my sister in law who is a nurse, went in to the Dr. with him
>and demanded they check his thyroid.  Bingo!

I hear of many similar tales. Thankfully, since becoming
diabetic, I pay more attention to the little things which
may or may not indicate something important. I am no longer
content to amble along until something realy radical goes
wrong and then rely upon the doc. But I think that is the
trend for a lot of people now. The public are better
informed than they used to be.

Pete

Diagnosed 20/03/03 Type II D&E + Metformin + Gliclazide
+ Asprin 210lbs at Dx to target 174lbs achieved.
To mail: aspen3 at freeuk.com
Julie Bove - 31 Oct 2003 02:14 GMT
> (cross-posted to both groups)
>
[quoted text clipped - 9 lines]
>
> Any Hypos (thyroid) out there have this happen to them?

Your Dr. is right.  I am hypo thyroid, but my former Endo. was giving me too
much Synthroid and then when my insurance would no longer cover Synthroid,
he switched me to Levoxyl, again too high a dose.  I did question him
repeatedly because I was having all sorts of symptoms that I thought related
to high thyroid.  He refused to let me see my labs and kept telling me that
I was fine, and doing better than I was when I first saw him.  And during
this period of time, I was having near constant hypos (BG).

I have since moved to another state and have gotten a good team of Drs.
Thyroid is right in range now.  In looking back, I can see that my low A1c
and also my hypos (BG) were related to thyroid.  It was also very difficult
for me to lose weight running hyper.  Go figure!  Since the move, my A1c has
been 6.1, 6.3 and now 6.1 again.  Normal for my lab is <6.0.

What I notice now is that my BG is not necessarily harder to control, but I
must watch what I eat more carefully than I did before.  Now, foods are
spiking me that didn't spike me before.  And if I eat so much as one bite
too many of certain foods, I have high BG.  When my thyroid was hyper, my
main concern was eating enough carbs so I didn't go hypo (BG)!  I still have
a few hypos (BG) now, but they are infrequent.  And I am losing weight
again.  So that's good.  Another interesting thing I've noticed is that my
psoriasis has cleared up.  I think when my thyroid was hyper, everything in
my system was speeded up, including the rate in which my skin cells turned
over.

Makes it really difficult when you are battling more than one medical
condition.  Seems like when you get one thing under control, another one
gets out of whack.

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Type 2
http://users.bestweb.net/~jbove/

Hypo Man - 31 Oct 2003 02:32 GMT
Julie,

I am confused by your message...generally, we don't run low BG's if our TSH
levels are low. If you are taking more thyroid medication your BG would go
up, not down.

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Steve
Toronto, Canada

> > (cross-posted to both groups)
> >
[quoted text clipped - 39 lines]
> condition.  Seems like when you get one thing under control, another one
> gets out of whack.
Julie Bove - 31 Oct 2003 03:53 GMT
> Julie,
>
> I am confused by your message...generally, we don't run low BG's if our TSH
> levels are low. If you are taking more thyroid medication your BG would go
> up, not down.

Low TSH = hyper thyroid.  High TSH = hypo thyroid.  Too much medication for
hypo thyroid = hyper thyroid.  Confusing, but true.

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Type 2
http://users.bestweb.net/~jbove/

Hypo Man - 31 Oct 2003 04:35 GMT
but, did you not say that you were running low BG's?

Signature

Steve
Toronto, Canada

> > Julie,
> >
[quoted text clipped - 5 lines]
> Low TSH = hyper thyroid.  High TSH = hypo thyroid.  Too much medication for
> hypo thyroid = hyper thyroid.  Confusing, but true.
Julie Bove - 31 Oct 2003 05:05 GMT
> but, did you not say that you were running low BG's?

Yes!  When I was hyper thyroid, I had low BG.  And this makes sense.  When
the thyroid is hyper, everything in the body is speeded up.  When the
thyroid is hypo, everything is slowed down.  So it also makes sense that
hypo thyroid could lead to higher BG.  I have noticed having to change my
diabetes meds and the amount of carbs I eat as my thyroid changes.

Signature

Type 2
http://users.bestweb.net/~jbove/

Julie E - 31 Oct 2003 06:10 GMT
> Your Dr. is right.  I am hypo thyroid, but my former Endo. was giving me too
> much Synthroid and then when my insurance would no longer cover Synthroid,
[quoted text clipped - 28 lines]
> Type 2
> http://users.bestweb.net/~jbove/

I'm glad things are finally looking up in one area for you.  You are
actually the one who got me to thinking about my Thyroid, well you and the
fact that my hair was falling out - lol!  I keep telling DH that when my
Thyroid is fixed, about 101 other things wrong with my body will start to
heal.  Hey, a girl can hope!!

Julie E
RoseannL - 30 Dec 2005 23:26 GMT
I underwent a complete thyroidectomy in February 2003 due to thyroid cancer
and have been on Synthroid (T4) and Cytomel (T3) ever since.  I was told to
keep my TSH level low in order to keep the cancer from returning, and because
there is no more need for TSH when I have no Thyroid to stimulate.   I
recently have been experiencing symptoms of being pre-diabetic and since I
have a family history of Type 2 diabetes, my endocrinologist sent me for
blood tests.  My Hemoglobin A1C came in at 6.2.
My unstable BG and elevated A1C is probably hereditary, but after reading
this discussion thread, I'm beginning to wonder if my thyroid cancer and
efforts to keep my TSH down is adding to my pre-diabetic condition or vice-
versa.  
I know I'm responding to this post about 2 years late, but my situation with
elevated A1C levels and unstable blood sugar just happened recently and while
doing research this evening, I came across this website.   Julie E...if
you're still out there, I'd appreciate if you could tell me what your
situation is now.  Hopefully your numbers have improved.  Let me know how
you've progressed for the past two years.
Also, if there's anyone else out there who has had a similar experience, I'd
love to hear from you.

Roseann

>(cross-posted to both groups)
>
[quoted text clipped - 14 lines]
>Julie E.
>T2 - 11/00
 
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