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Is it possible for a hypothyroid patient to develop diabetes?

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Patient's Query

Hello doctor,

I am hypothyroid. Thyroid gland destroyed by Radioactive Iodine 14 years ago. My fasting blood sugar level is always in the range of 6.1 to 6.5 mg/dL. I have tried intermittent fasting even after 22 hours it does not drop below 6.0. Postprandial is in the range of 9.5 to 10.4 mg/dL. I do not have any sugar or rice or bread in my diet. Only carbohydrates is brown chapatis. Am I Type 2 diabetic? I take 200 mcg Levothyroxine everyday.
Answered by Dr. Nadeem Abootty

Education:

MBBS

Professional Bio:

Dr. Nadeem Abootty is a dedicated Family Physician with expertise in preventive care, chronic disease management, acute illness treatment, and patient education. He provides comprehensive medical care to individuals and families across all age groups. Dr. Abootty is committed to building long-term patient relationships and promoting overall wellness through personalized, evidence-based treatment plans and a compassionate approach to care.

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Hi,

Welcome to icliniq.com.

From your history it is evident that you are on replacement therapy for hypothyroidism post-radioactive iodine, and also known diabetic since 6 months. From your history, age and other parameters it is type 2 diabetes mellitus. It is not only carbohydrates which contributes to the same. Insulin resistance is the main culprit. From the details above it is clear your blood sugars are not under good control (hbA1C 8.8). I would recommend to monitor your blood sugars at different point of time to know at which time it is increasing. (That is monitoring before and 2 hours after breakfast, lunch and dinner using a glucometer) and want to adjust your diabetic medications accordingly.

Treatment plan

Have lifestyle modification and take diabetic diet. Do regular aerobic exercises for about 30 minutes a day. Avoid simple sugars, juices, fruit with high glycemic index and modify oral antihypoglycemic agents according to blood sugars.
Medically reviewed by Dr. Divya Banu M
Published At May 20, 2020
Reviewed At July 13, 2023

Education:

MBBS

Professional Bio:

Dr. Nadeem Abootty is a dedicated Family Physician with expertise in preventive care, chronic disease management, acute illness treatment, and patient education. He provides comprehensive medical care to individuals and families across all age groups. Dr. Abootty is committed to building long-term patient relationships and promoting overall wellness through personalized, evidence-based treatment plans and a compassionate approach to care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nadeem Abootty
Dr. Nadeem Abootty

Diabetology

Education:

MBBS

Professional Bio:

Dr. Nadeem Abootty is a dedicated Family Physician with expertise in preventive care, chronic disease management, acute illness treatment, and patient education. He provides comprehensive medical care to individuals and families across all age groups. Dr. Abootty is committed to building long-term patient relationships and promoting overall wellness through personalized, evidence-based treatment plans and a compassionate approach to care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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