HomeAnswersGeneral Practitionerthyroid-stimulating hormone (TSH) level

How to get TSH level control in a diabetic?

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Patient's Query

Hi doctor,

My dad is 67 years of age and my mom is 63 now. I have got general health checkup done for my parents. I am uploading the reports here. Kindly check and let me know if anything needs our immediate attention. Thanks
Answered by Dr. Mohammad Aamir

Education:

MD

Professional Bio:

Dr. Mohammad Aamir is a caring and dedicated Pediatric Specialist committed to safeguarding the health and well-being of children from infancy through adolescence. He focuses on preventive care, accurate diagnosis, and effective treatment, while creating a safe, supportive, and comforting environment for young patients. With a compassionate approach, he works closely with families to address concerns, encourage healthy growth, and promote optimal physical, emotional, and developmental milestones at every stage of childhood.

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Hello,

Welcome to icliniq.com.

I have seen all the reports (attachment removed to protect patient identity) of your parents. Your mother is diabetic and she is controlling her diabetes good. She has a mild increase in her leukocyte count, it is due to infection. Did she get any fever in past weeks? Or did she have a sore throat? Is she taking any thyroid medication? If yes, which one and what is the dosage? Her TSH (thyroid stimulating hormone) is high which means there is thyroid disorder, but to be hundred percent sure you need to do TPO (thyroid peroxidase antibody test) it will tell us what exactly the problem is. Your father probably does not have diabetes as you have done HB1AC (glycated hemoglobin) and FBS (fasting blood sugar) test first time on him. But I think he is a little obese. He should go for a walk for 30 minutes and reduce the fat and oil from his diet. I hope this helps. Thank you and take care. Regards.

Patient's Query

Thank you doctor,

I have few more queries about the report. My mother had no fever or sore throat recently. She is not taking any thyroid medication. She has iron deficiency. The distribution of blood cells is weird, I suppose. Do you like to give any suggestion? P-LCR is too high. Kindly suggest about this. Alkaline phosphatase reading is too high. What to do for this? Please explain the consequences related to high TSH. My father's blood cell distribution is out of range and his cholesterol values are high. Also kindly do let me know if there is really something to be worried about in any of their cases.

Answered by Dr. Mohammad Aamir

Education:

MD

Professional Bio:

Dr. Mohammad Aamir is a caring and dedicated Pediatric Specialist committed to safeguarding the health and well-being of children from infancy through adolescence. He focuses on preventive care, accurate diagnosis, and effective treatment, while creating a safe, supportive, and comforting environment for young patients. With a compassionate approach, he works closely with families to address concerns, encourage healthy growth, and promote optimal physical, emotional, and developmental milestones at every stage of childhood.

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

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

For iron deficiency ask her to take tablet Feronia-XT (combination of Iron with Folic acid), oral Iron formulation, once a day for 30 days. You need not worry about the distribution of blood cells. It happens that sometimes P-LCR (platelet large cell ratio) is too high but other major indicators are normal in complete blood count these are minor things. Nothing to do again for raised alkaline phosphatase. These things will reduce if you do a test again after a week. It is little raised in medical terms. High TSH is a problem. Get the test of TPO done and consult an endocrinologist. Your father's blood cell distribution is normal. No need to worry about it. To control cholesterol, please follow the guidelines I told you before. He needs to walk for 30 minutes every day to reduce fat and should consume low oil diet. Again his cholesterol level is in borderline which will reduce once he follows these guidelines. No medication is required. Nothing to worry about both of them. Just tell your mother to keep good control of her diabetes. I hope this helps. Thank you and take care. Regards.

Medically reviewed by Dr. Sneha Kannan
Published At January 25, 2016
Reviewed At July 25, 2025

Education:

MD

Professional Bio:

Dr. Mohammad Aamir is a caring and dedicated Pediatric Specialist committed to safeguarding the health and well-being of children from infancy through adolescence. He focuses on preventive care, accurate diagnosis, and effective treatment, while creating a safe, supportive, and comforting environment for young patients. With a compassionate approach, he works closely with families to address concerns, encourage healthy growth, and promote optimal physical, emotional, and developmental milestones at every stage of childhood.

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

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Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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Thyroid and Diabetes Management Decision Helper

Navigating Thyroid and Diabetes Management?

Answer a few questions to understand key factors in managing thyroid health and diabetes, and when to consult a doctor.

  • Helps identify potential concerns related to thyroid and diabetes.
  • Guides you on when to seek professional medical advice.
  • Provides questions to ask your doctor.

For guidance only, not a diagnosis. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.
Dr. Mohammad Aamir
Dr. Mohammad Aamir

Internal Medicine

Education:

MD

Professional Bio:

Dr. Mohammad Aamir is a caring and dedicated Pediatric Specialist committed to safeguarding the health and well-being of children from infancy through adolescence. He focuses on preventive care, accurate diagnosis, and effective treatment, while creating a safe, supportive, and comforting environment for young patients. With a compassionate approach, he works closely with families to address concerns, encourage healthy growth, and promote optimal physical, emotional, and developmental milestones at every stage of childhood.

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

Consult other doctors in the same speciality
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