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Fed up.

Each to their own but I'm not sure that liquidised carbohydrate (with fructose) is going to be the answer to everyone's T2DM problems.
 
HSSS said:
I do get the figures.
Pre surgery 2 yrs ago Tsh sat around 0.6 and t4 around 9-10.
Post surgery TSH has doubled to 1.2 ish T4 has gone up a bit more like 10-12 with one blip down to 8.6 a year afterwards.
Only t3 I managed to get was 5.6 a few months post surgery.
TSH range 0.4-5.6
T4 range 7.7 - 15.1
T3 range 4.3-6.8.
These look ok to me. I’m assuming tsh is up because it needs to stimulate higher productivity from the remaining bit of my thyroid to get the same overall result. With tsh this low they believe it’s fine. Obviously this could have changed in the last year.

I'm still unclear how thyroid affect bgl, though I get how it effects weight.
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With respect, tests from a couple of years ago are meaningless to today - in many ways in the same way as an A1c of 2018 is all very spiffing, but indicates nothing about today.

In the last, almost exactly 2 years, by TSH has varied from 5.8 in 2018 to a few days ago when it was 0.02 (range 0.3 - 5) My FT4 has varied on a range of 9.2 to 16.8 (range 10 -25), and my FT3 from 2.5 to 3.8 (range 3.5 - 6.5).

My numbers still aren't great. A suppressed TSH is quite usual when taking the meds I am, but my FT4 and FT3 in particular need to be higher for optimum health. I'm not typically hypothyroid in any way, shape or form, but I am hypothyroid with a treatment need.

The thing about hormones is they are all a bit interactive, and our thyroid is at the centre of our metabolic health. I spent about 2 years extremely symptomatic, prior to achieving a trial of T4, then another 2 years creeping my way along, with myt symptoms really only easing materially in the last 5 months, since I started on a trial of T3.

I really do urge you to have this checked out.
 
DCUKMod said:
With respect, tests from a couple of years ago are meaningless to today - in many ways in the same way as an A1c of 2018 is all very spiffing, but indicates nothing about today.

In the last, almost exactly 2 years, by TSH has varied from 5.8 in 2018 to a few days ago when it was 0.02 (range 0.3 - 5) My FT4 has varied on a range of 9.2 to 16.8 (range 10 -25), and my FT3 from 2.5 to 3.8 (range 3.5 - 6.5).

My numbers still aren't great. A suppressed TSH is quite usual when taking the meds I am, but my FT4 and FT3 in particular need to be higher for optimum health. I'm not typically hypothyroid in any way, shape or form, but I am hypothyroid with a treatment need.

The thing about hormones is they are all a bit interactive, and our thyroid is at the centre of our metabolic health. I spent about 2 years extremely symptomatic, prior to achieving a trial of T4, then another 2 years creeping my way along, with myt symptoms really only easing materially in the last 5 months, since I started on a trial of T3.

I really do urge you to have this checked out.
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I fully appreciate they change and sometimes quickly. Just evidencing that when previously checked they were ok both before and post surgery and the most recent results were also during the period since I have stalled both bgl and weight wise. I have requested a full sweep of tests. Awaiting a reply.
 
HSSS said:
Result. Dr agreed to all except cpeptide/insulin for HOMA IR which I never expected to get. Go from there
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Amazing. Got a reply within hours approving tests instead of typical 48hrs (weekdays). Couldn’t get through on the phone so popped in lunchtime and was told all tests were booked til end of March when a little voice popped up, “I can do it now”. Lovely practice nurse immediately and efficiently extracted my reluctant blood. For a nice change my surgery have impressed me greatly today. Awaiting results now for fine tuning plan of action.

interestingly I was told by the dr c peptide is specialist request only. Is that the same everywhere? Or just my ccg?
 
HSSS said:
Amazing. Got a reply within hours approving tests instead of typical 48hrs (weekdays). Couldn’t get through on the phone so popped in lunchtime and was told all tests were booked til end of March when a little voice popped up, “I can do it now”. Lovely practice nurse immediately and efficiently extracted my reluctant blood. For a nice change my surgery have impressed me greatly today. Awaiting results now for fine tuning plan of action.

interestingly I was told by the dr c peptide is specialist request only. Is that the same everywhere? Or just my ccg?
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I was referred on my DB's advice, when she suspected T1 because metformin gave me the runs. (Riiight). The endo ordered the test. So who knows, could be the matter of course indeed...
 
My GP has ordered c-peptide, but I'm in Australia. So, perhaps there is a difference. Mind you, I also had to tell him what it was and what it did and what the result meant. I should of charged him for that 15 min consult. :D
 
People with T2 can have low c-peptide levels as well but normally T1s have even lower c-pep than T2s so it's not always definitive.
 
JohnEGreen said:
People with T2 can have low c-peptide levels as well but normally T1s have even lower c-pep than T2s so it's not always definitive.
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I appreciate more advanced/longer term t2 can have reduced numbers (more what I wanted to rule out than any type 1 suspicion) but typically most are over producers and I wanted to see if I’m a massive overproduced or mild. It might not be definitive but it sure points things in one direction or the other in a lot of cases. But anyway the request for it was declined as specialist order only so, for now, I won’t know in my case.
 
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