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Type 2 Diabetes
Keto for 3 months, HbA1c78..now....
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<blockquote data-quote="DCUKMod" data-source="post: 2280752" data-attributes="member: 345386"><p>Millie - Looking at your blood results, that TSH is a bit of a red light to me.</p><p></p><p>In my experience, and a massive amount of reading ( as I am very atypically hypothyroid), people with healthy and efficient thyroid functions have a TSH of 2, or less. Above that it is a sign your thyroid is struggling.</p><p></p><p>Annoyingly, thyroid function is a cornerstone of our metabolic health. As 3 months have passed, it would make sense to re-run all of those tests, but certainly the thyroid function. When the thyroid function is tested, ideally you need TSH, FT4 and T3 scores, plus autoimmune antibodies.</p><p></p><p>Many labs will only test FT4 where the TSH is "in range", but in this areas, they are "gractious" enough to test TSH and FT4, which is a start.</p><p></p><p>What puzzles me is when you were declared a puzzling case, what action was taken in an effort to solve the puzzle?</p><p></p><p>In my own case, when an Endo declared "we'll probably never get to the bottom of those symptoms" (that were making my life horrid), I wanted to strangle him and be very rude (somehow I resisted), but my GP offered a second opinion with a named consultant. Why don't you do your research into "interested" Endos in your area, or even out of area (a second opinion can be named and out of area, if preferred), and ask your GP for a named NHS referral.</p><p></p><p>You need to get top the bottom of this.</p><p></p><p>If you are Afro-Caribbean, do you have sickle-cell anaemia or such like, and have you had a Fructosamine test? For some of your ethnicity, the HbA1c can be a bit ropey as a measure, with the Fructosamine being more accurate.</p><p></p><p>Sorry to ask so many (more!) questions, but I'm good at asking questions. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>You need answers.</p></blockquote><p></p>
[QUOTE="DCUKMod, post: 2280752, member: 345386"] Millie - Looking at your blood results, that TSH is a bit of a red light to me. In my experience, and a massive amount of reading ( as I am very atypically hypothyroid), people with healthy and efficient thyroid functions have a TSH of 2, or less. Above that it is a sign your thyroid is struggling. Annoyingly, thyroid function is a cornerstone of our metabolic health. As 3 months have passed, it would make sense to re-run all of those tests, but certainly the thyroid function. When the thyroid function is tested, ideally you need TSH, FT4 and T3 scores, plus autoimmune antibodies. Many labs will only test FT4 where the TSH is "in range", but in this areas, they are "gractious" enough to test TSH and FT4, which is a start. What puzzles me is when you were declared a puzzling case, what action was taken in an effort to solve the puzzle? In my own case, when an Endo declared "we'll probably never get to the bottom of those symptoms" (that were making my life horrid), I wanted to strangle him and be very rude (somehow I resisted), but my GP offered a second opinion with a named consultant. Why don't you do your research into "interested" Endos in your area, or even out of area (a second opinion can be named and out of area, if preferred), and ask your GP for a named NHS referral. You need to get top the bottom of this. If you are Afro-Caribbean, do you have sickle-cell anaemia or such like, and have you had a Fructosamine test? For some of your ethnicity, the HbA1c can be a bit ropey as a measure, with the Fructosamine being more accurate. Sorry to ask so many (more!) questions, but I'm good at asking questions. :) You need answers. [/QUOTE]
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