PART I — I know how thyroid hormones (TH) raise blood glucose.
— In liver, TH increases expression of GLUT2 -->increase in both gluconeogenesis and glycogenolysis.
—In liver, T3 increases gluconeogenesis by increasing activity of phosphoenolpyruvate carboxykinase (PEPCK)
—the TH stimulated glycogenolysis & gluconeogenesis --> hyperinsulinemia and glucose intolerance, resulting in peripheral insulin resistance.
—In adipose tissue, TH increases lipolysis, resulting in an increase in free fatty acid that stimulates hepatic gluconeogenesis
Diabetes Metab J. 2022 Mar; 46(2): 239–256. Published online 2022 Mar 24. doi: 10.4093/dmj.2022.0013
PART II - Based on what I read yesterday (above), I decided to forego even a low-carb breakfast to see if I get the glucose spike. Nope.
It would seem taking a dose of thyroid meds at 4:00 AM which results in gluconeogenesis and glycogenolysis from the liver AND eating breakfast is what puts me over the edge, resulting in the huge spike.
I normally 3 meals per day based on the research of Dr. Don Layman (to preserve muscle mass / reduce risk of sarcopenia) so I will need to work out a different schedule for taking my thyroid meds.
Currently taking:
4:00 AM : 37.5 mcg T4 plus 4 mcg T3
10:00 AM: 4 mcg T3
4:00 PM: 4 mcg T3
10:00 PM: 37.5 mcg T4
Suggestion on better med schedule / (low carc) breakfast time so as not to spike glucose so much.
Getting new thyroid and nutrient labs later this week
Thanks.