Blood sugar fluctuation in Hashimoto

[GraceB]

I just was wondering if anybody with hashimoto experienced problems with blood sugar levels while on levothyroxine and liothyronine?

I'm currently on 100mcg levothyroxine and 25mcg liothyronine. For some time I have noticed fluctuation of my sugar level that is getting worse. I have episodes when my sugar goes down so much that I'm getting headache, shaky, sweating and have to eat something quickly. Other time, I'm getting very sleepy after dinner so suddenly that I fall asleep at the table.

I asked my endo for advice. He recommended HbA1c test but it came back normal (no diabetes). I have noticed in last couple of months that I need to wake up to toilet in the night and never did it before except when I was pregnant. I have also repeated urine track infections and struggling with keeping my weight.

I've just done sugar and insulin levels and these results are below. I will add that I'm 42 year old female.

Fasting glucose 101 mg/dl (70-99)

Glucose after drinking 75g glucose; after 1 hour 136mg/dl; after 2 hours 102mg/dl

Fasting insulin 0.5ulU/ml (2.6-25)

Insulin after drinking 75g glucose; after 1 hour 24.6; after 2 hours 27.6

Can anybody help me to understand these results?

[silverfox7]

Normal tends to send a shiver down the spine! To doctors normal means in range but you could be very near the top or very near the bottom which is a warning sign it could soon be out of range and so things need looking at. Can you add the actual reading of the diabetes test as I'm sure that will get a reaction.

[GraceB in reply to silverfox7]

Thanks silverfox7 for your reply. I dont have the diabetes result. I'll see my endo in a month time, will ask and post it here.

[MarthaF]

I am by no means an expert and can't help with the results but sugar lows are a common symptom of adrenal stress which goes hand in hand with thyroid issues.

I had problems with them. I noticed at work if I ate something sweet like a biscuit in the afternoon by the time I was going home I would get shaky and dizzy, and found it particularly alarming when cycling home as I'd get slower and slower and more unstable, so I'd have to stop and buy something to eat.

I have cut out sugar and have a healthy snack in the afternoon which has really helped. There's some more here about adrenal stress And hypoglycaemia adrenalfatigue.org/hypoglyc...

[MarthaF in reply to MarthaF]

healthunlocked.com/thyroidu...

Just found this post and replies which has more in depth info is helpful. Going to have a good read myself!!!

[GraceB in reply to MarthaF]

Useful read! Many thanks MarthaF.

[Fruitandnutcase]

Why don't you buy yourself a blood sugar meter then test your bs before you eat and two hours afterwards for a few weeks and record your results then that way you can see what is happening.

I know I sometimes feel like my bs must be very low and test it only to find out that it isn't - which is good but doesn't explain why I feel like I think I would feel if it was low.

I was tipped into T2 diabetes after being given steroids and I bought an AccuChek Mobile test meter - doctors don't give it out for T2!) which comes with its own lancet and is very easy to use. Unfortunately the replacement cassettes are not cheap but if you didn't want to use it forever you can buy it with a cassette for 50 tests for about £20.

That would be one way of finding out what's going on.

[GraceB in reply to Fruitandnutcase]

That's a good idea. I've already ordered a glucometer. Thank you Fruitandnutcase

[E_lizab8]

I have Hashi and I have this too but get it rarely now since changing my diet to gluten free and moderate low carb. For breakfast one slice of low carb toast, with a fried egg or bacon and sliced tomatoes, sometimes cheese, this keeps me going till lunchtime, other meals meat, fish or eggs with vegetables or salad and healthy fats,(butter,olive oil, mayo), fruit is mostly quite high carb so I find it works better if eaten with more fibre for example I add fruit to my salad or eat nuts with a banana then I don't get a sugar rush, it depends how sensitive you are, everyone is different,for snacks either nuts or cheese but nothing sweet, dietdoctor.com is very good on low carb info and recipes.

[Fruitandnutcase in reply to E_lizab8]

Couldn't agree more. I went totally GF almost two years ago. I've got loads of autoimmune conditions and GF was the way to go for me then I went into low carb, high fat and also discovered DietDoctor.com which is an amazing website and between that and Diabetes.Co.uk I ate my way out of T2 and watched my thyroid antibodies plummet.

[GraceB in reply to Fruitandnutcase]

That's amazing Fruitandnutcase! I'm happy for your achievement. My plan is to go GF, DF and low-carb diet. Sounds a lot so I'm reading and doing lots of research at the moment. All the best

[Fruitandnutcase in reply to GraceB]

I used This book which was absolutely superb

amazon.co.uk/Reverse-Your-D...

I did exactly what the guy said. He has a recipe book too that I bought but I prefer The 8 Week Blood Sugar Diet Recipes. The food in there is more the sort of thing I would want to eat.

amazon.co.uk/8-week-Blood-S...

[GraceB in reply to Fruitandnutcase]

That's all I need now! Thank you so much

[GraceB in reply to E_lizab8]

Many thanks E_lizab8. The Diet doctor really looks good