link between Hyperthyroid and Hyperglycemia

[jaxlamb]

Background: I have recently been through a number of different Thyroid tests. Beginning in January of 2008 my TSH has gone from .53 to .03 in February 2009 and last month the test was .01. both my T-4 and T-3 are high (also tested last month). My Dr. sent me for an ultrasound of the Thyroid, results were Heterogeneous Thyroid with no masses or significant enlargement and no dominant nodules. He is taking a watch approach and will retest me annually. He is not really concerned with my out of range numbers. He also ordered a three hour blood glucose, fasting rate of 127 at the one hour mark in it jumped to 241 with 2% positive urine 2hr. 156 with negative urine and by the end of the three hours it was 114 with negative urine glucose. He has me testing three times a day and the range is from 108-130 morning, afternoon 98-120 and bedtime 120-147. He said I am onset Type 2. All of this has started within this year plus bad cholesterol is good good cholesterol is bad and Triglycerides are slightly elevated. Is there a relationship or link to Hyperthyroid and Hyperglycemia? Is all of this related? Should I take a watch and see? Is there others reasons my Thyhroid tests are coming back slightly out of range? What does Heterogeneous Thyroid mean? Is that normal?

[bunchiebabe264]

no thats wrong actually if you look at wikipedia and other sites you will then see that hyperthyroid is actually linked with hyperglycaemia and hypothyroid is linked with hypoglycaemia plus it is in books too.......

http://www.medicinenet.com/hyperglycemia/page2.htm
http://en.wikipedia.org/wiki/Hyperthyroidism#Symptoms_and_signs

[resamm28]

From the research that I have done into this issue I suggest thr following.
1. Continue monitoring your glucose levels because hyperglycemia is linked to hyperthyroidism due to insulin resistance.
2. Ask your doctor about TSI antibodies and if he can test you for them. These antibodies actually attach themselve to the TSH receptors in the thyroid causing the thyroid to produce increased amounts tof T3 and T4 and a decrease in TSH levels.
3. Monitor your iodine intake. Excessive iodine intake (salty foods) can cause you to go into crisis
4. Ask you doctor about treatment for hyperthyroidism.

[jaxlamb]

I don't have the copy with me at work, but will bring next week and post. Thanks!

[stella5349]

Can you post those labs?

[jaxlamb]

My diet is very good, I have lost 32 lbs since May, walking three miles a day watching what I eat and how much.I do still have my daily "kisses" around 3 - 5 but other than that the only sugar I have come from fruits, yogurt and what is converted to sugar. I am watching the glycemic numbers in foods and was amazed at some of the numbers. In my daily sugar testing my highest spike has been under 150 after meals. The only time it has been over 200 was during the glucose tolerance test and it did come down to 114 at the end of three hours.  I did have a T3 and T4 and they too are indicative of hypErthyroid not HypO. How far out of range should these test be to be concerned? It seems strange that my numbers have been changing over the last three years on the hypEr side.

[stella5349]

Your US basically states you have a healthy thyroid with no forseen issues.

Actually hypOthyroid and HyPERglycemia are linked together.

Hyperthyroid and HYPOglycemia are connected.

Personally I think your TSH is no concern. Things shift daily with TSH - so your ranges are really not out of whack per sa to me at all.

What would alarm me are they HDL /LDL levels. If those are abnormal then I would indicate to the doctor you want specific thyroid labs like Free T3 and Free T4- if those are off - you may find you really have onset secondary hyPOthyrodiism with Type 2 as the culprit and would need to get your sugar count down more to balance this out. From what I see on the labs you should watch the spike in the 200's and track those more than the others. Are you spiking everyday and what's your diet like?