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Doctor insights on: Type 1 Diabetes Elevated T4 And Tsh

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Hi i am 33 yrs having type-1 diabetes hba1c - 6.7 with TSH level 5.95. Also had nail in right leg since 2004 diabetes \u0026 thyroid is my hereditar?

Hi
i am 33 yrs having type-1 diabetes hba1c - 6.7 with TSH level 5.95.
Also had nail in right leg since 2004
diabetes \u0026 thyroid is my hereditar?

I'm not: Sure what your question is, but your TSH that is slightly elevated indicates your thyroid is beginning to fail. There is variable opinion on when to begin treatment with brand name T4 replacement, but almost certainly the problem will continue to worsen (and never correct itself) so why not begin the lifelong replacement now? Talk w/your doctor. ...Read more

Dr. Quang Nguyen
923 doctors shared insights

Thyroid Stimulating Hormone (Definition)

A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland and tells the thyroid gland to make and release the hormones thyroxine ...Read more


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A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

A1c5.8;was 5.7 about 5 years ago&was never told pre diabetes;non fasting glucose 104;hypothyroid tsh high@8.31;t4-1.6 with high normal 1.7;concerning?

Hypothyroid: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your A1c result is not abnormal and is not pre-diabetes level. However you are hypothyroid and should consult your doctor for replacement medication. ...Read more

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I have type 1 diabetes and I am also on high levels of thyroxine as my thyroid was removed. Can I expect a normal life expectancy or is it unlikely?

I have type 1 diabetes and I am also on high levels of thyroxine as my thyroid was removed. Can I expect a normal life expectancy or is it unlikely?

Depends on D control: A study reported in 2015 reported that there is a 11-13 year shorter life span in individuals with D type 1, but that study started in the 80's and since then sugar management has improved dramatically, and a new study has shown that diference reduced by 1/3 in a study with intensive control. Research is ongoing, and longevity may improve more with future Rx. Thyroid has less effect. ...Read more

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Is the level of TSH of 4 is elevated ? With normal totalt3 .And T4 is it an indication of any type of hypothyroidism ?

Is the level of TSH of 4 is elevated ? With normal totalt3 .And T4 is it an indication of any type of hypothyroidism ?

Maybe: The TSH level of 4 may be borderline elevated depending on the lab performing the test. If thyroid levels are normal the TSH level may be a warning that the thyroid may be failing. Repeat levels over time are needed to answer the question. ...Read more

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The level of T4 is 1.0 and TSH is 3.0.But i hve swelling on one side of my neck..What does it mean? If the levels are normal why do I hve swelling?

The level of T4 is 1.0 and TSH is 3.0.But i hve swelling on one side of my neck..What does it mean? If the levels are normal why do I hve swelling?

Neck swelling: There are many possibilities. First, is the swelling from the thyroid? If not, you need to get it checked out. If it is, it is possible it is a thyroid cyst, which is usually benign, and can swell/shrink. A hashimotos thyroid can swell. A thyroid ultrasound would help diagnose this. ...Read more

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Tsh levels are these normal? Tsh- 3rd generation- 1.04 miu/l , then another one was 0.63 miu/l. Tsh w/free T4 rfx 1.50 miu/l. Are these normal levels?

Tsh levels are these normal? Tsh- 3rd generation- 1.04 miu/l , then another one was 0.63 miu/l. Tsh w/free T4 rfx 1.50 miu/l. Are these normal levels?

Probably: Most labs include a reference range (or normal range) in their reports. While there can be some variation from one lab to another, almost all labs would consider TSH values between 0.5 to 3.0 to be normal. All three of your levels fall in this range, and so would be considered normal. ...Read more

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My TSH is 0.06, t3-99, t4-10.9, ft3- 3.21, ft4- 1.62. One year back my TSH was >11. I am taking thyroxin 100mcg. What should I do now?

My TSH is 0.06, t3-99, t4-10.9,  ft3- 3.21, ft4- 1.62. One year back my TSH was >11. I am taking thyroxin 100mcg. What should I do now?

Difficult: To determine from your lab values as different labs have different normal values but it appears that your TSH is appropriately suppressed. Obviously you have a doctor ordering these tests so why not ask the obvious person. Without any clinical data it would be unwise to counsel you. ...Read more

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I took the TSH w reflect to free T4 one year apart. Last year it was 1.56 and this year it is .75. I am symptomatic. Is the .75 ok as it was 1.56?

I took the TSH w reflect to free T4 one year apart.  Last year it was 1.56 and this year it is .75.  I am symptomatic.  Is the .75 ok as it was 1.56?

Normal and normal: Hi. Please know that: 1) TSH doesn't always have to stay the same, and 2) assays have variability, so that the same sample measured twice could have different results. Therefore, two normal TSH's are not concerning, and we would conclude whatever symptoms you have are not due to the thyroid (this argument assumes normal pituitary function). Good luck! ...Read more

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I have thyroid problem with elevated TSH and low t4. What do you suggest?

Hypothyroid: Your situation sounds like an under active thyroid however the cause is unclear mostly permanent requiring lifelong replacement before starting this routine confirm it is not a self limited condition which is less common check with md also helped by checking tpo levels. ...Read more

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Mildly elevated CPK and sed low iron abnml TSH but free T4 normal what does all this mean?

Mildly elevated CPK and sed low iron abnml TSH but free T4 normal what does all this mean?

Not enough info: How high is the tsh? Any anemia? Other health issues? Any other health history, physical or lab findings? Please provide more info. ...Read more

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What do these types of test means: tsh, t3, (liothyronine) t4?

What do these types of test means:  tsh, t3, (liothyronine) t4?

Gas pedal & gas: Tsh is like the gas pedal. T3 (liothyronine) and T4 are the gas. The pituitary sends TSH [thyroid stimulating hormone], a chemical message to the thyroid to work faster or slower. High TSH means low thyroid. Low TSH means high thyroid. T3 (liothyronine) is active form of thyroid hormone. T4 is inactive thyroid hormone. ...Read more

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My one year baby female is having tsh-8.71, t3-194, t4-11.2 this means that she having pituitary disorder?

My  one year baby female is having tsh-8.71, t3-194, t4-11.2 this means that she having pituitary disorder?

Need a specialist: These labs seem very unusual. On the surface, a TSH secreting pituitary tumor is possible. But this is extremely rare. A more likely explanation could be a mistake in the lab tests. You should see a pediatric endocrinologist before doing anything drastic. ...Read more

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My TSH levels are 4.57; Free T4 =1.2; T3 (liothyronine)=103. Are my Free T4 and T3 (liothyronine) levels normal? If they are normal why is my TSH elevated?

My TSH levels are 4.57; Free T4 =1.2; T3 (liothyronine)=103. Are my Free T4 and T3 (liothyronine) levels normal? If they are normal why is my TSH elevated?

Slightly low: I see that you are on thyroid hormone. The TSH will be the best indicator of whether you need more or less medication. The ideal TSH is around 1-2, so currently you could use a slightly higher dose. The "normal range" applies to a population of people. Your individual normal range is much more narrow. If your pituitary wants your free T4 to be 1.3 or 1.4, it will put out TSH to try to do so. ...Read more

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Is there any concern for a slightly elevated TSH but normal t4?

Is there any concern for a slightly elevated TSH but normal t4?

Yes,: It's called subclinical hypothyroidism. Many doctors would wait to see if it worsens, others would begin treatment now. Check w/your doctor to see their recommendation. ...Read more

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What does a normal TSH level with an elevated T4 level mean?

What does a normal TSH level with an elevated T4 level mean?

Nothing: The TSH is more accurate. A free T4 is more accurate than a t4, which can be affected by many factors such as estrogen. Are you on any form of estrogen, bcp's etc? ...Read more

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What does it mean if TSH is 0, but T3 (liothyronine) and/or T4 are elevated?

What does it mean if TSH is 0, but T3 (liothyronine) and/or T4 are elevated?

Hyperthyroidism: If a third generation test was use to measure TSH you likely have hyperthyroidism and should your doctor as soon as possible. See this site for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001396/. ...Read more

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Dr. Quang Nguyen
3,288 doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more


Dr. Natalie Hodge
421 doctors shared insights

Diabetes, Type 1 (Definition)

A chronic condition in which the pancreas produces little or no insulin. ...Read more