I'm new to this site and was wondering if my tsh is ok. It is 0.78 miu/l is the measure used in nz
I did try to get s full panel but my dr wouldn't as it's expensive an she said I'm normal
I am a type 1 diabetic and have had a few symptoms in my diabetes site I read an article saying that you need a full panel to fully get a accurate picture
Is this correct? I see my endocrinologist soon an I'll ask him for a full panel
But I wouldn't if my tsh result is ok
Thank you
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Nessa1970
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TSH 0.78 is normal and rules out primary hypothyroidism but not secondary or tertiary hypothyroidism caused by pituitary or hypothalmic dysfunction.
TSH is a pituitary hormone which responds to thyroid hormone (T4 and T3) levels. There is an assumption among many medical professionals that TSH testing is all that is required but that misses diagnoses of secondary or tertiary hypothyroidism where TSH may be low-normal but FT4 and FT3 may be low because there is insufficient TSH stimulation of the thyroid gland.
I would ask your endocrinologist to check TSH and FT4 at least.
...and thyroid anti-bodies need testing too - Anti-TPO and Anti-TG. This will rule out Auto-immune Thyroiditis - Hashimotos. As Type 1 diabetes is AI it is possible you could have other AI issues .... just a thought
TSH can be irrelevent when at low levels if yiur doctor is titrating your meds by TSH alone then sack him or her and get another who is more sympathetic to your symptoms.
I haven't been diagnosed with a thyroid problem as yet. I am very dry skin and brittle nails tired etc but I just wanted a full panel to st eliminate it as I get tested yearly for celiacs and thyroid due to my diabetes. But Iv been told you can't tel from just a tsh
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