Hypothyroid - levels and synthroid

[Sper123]

Hi there,
I have been having hypothyroid symptoms for quite sometime now and actively trying to get pregnant as well with 2 miscarriages and implantation failure after IVFs.

Just recently I was told that I may need to take thyroid medications and it seems my hba1c levels are also high. Here are my lab results. Anything you guys can suggest would be helpful. I have been prescribed synthroid 0.25 mg and metformin 500 mg. nothing for the low iron levels.  


1. Haemoglobin A1C - 5.9 (high) ( i have always struggled with this level even though fasting and PP glucose are always within limit). does this mean I will need to take metformin?

2. TSH - 4.6 uIU/ml (high) -- this is alarming as my previous levels have always been little over 2. so not sure what this means. I am shedding hair wherever i go, if that makes sense and have trouble keeping off weight even with exercise and diet restrictions. I have heard about Synthroid but dont know if it is prescribed during TTC? I guess there is no turning back once you start taking these though, right?

Free T3 - 3.04 pg/ml

Free T4- 0.96 mg/dl

Thyroid peroxidase - 11
Thyroglubulin, antibody - <1.0


3. Homocysteine - 7.3 umol/L - i think this seems to be within range considering that I am positive heterozygous for mthfr (c677T).

4. However my ferritin is only 20 ng/ml. is this low and will I need to take something to fix it?

I also have low levels of
MCV - 77 low
MCH - 25.1 low

I am told that anemia could lead to high hba1c levels for some reason.

[Red_Star]

"Iron deficiency anemia, a major public health problem in developing countries, is associated with higher HbA1c and higher fructosamine [3]. Consistent with these observations, iron replacement therapy lowers both HbA1c and fructosamine concentrations in diabetic and non-diabetic individuals [3-5]. HbA1c, but not glycated albumin, is increased in late pregnancy in nondiabetic individuals owing to iron deficiency [6]." - Factors that Interfere with HbA1c Test Results

[Super_sally888]

Hello,

please post your reference ranges for the tests.  

If you are hypothyroid and untreated, this will affect your blood sugar levels.  It will also affect your ability to get and stay pregnant.

Treatment for diabetes (your levels are borderline) during pregnancy is usually insulin.

I think you need to see an endocrinologist, explain your plan and desire to get pregnant, and come up with a plan to get everything properly managed and treated.