Dr. Nadeem Abootty
Diabetology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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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.
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
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Diabetology
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