Pregnant, taking thyronorm. Difference in reading of blood test with and without empty stomach? - Online Doctor Chats
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I am 23 weeeks pregnant I am using medicine (thyronorm 25mg) for hypo thyroidism since 1 month. i need to review it every month as prescribed by my endocrinologist. tomorrow i need to take a blood test for free t4 and tsh levels.for that do i need to go with empty stomach? and i am taking thyronorm every morning on empty stomach .can i take the tablet and go for test or without taking the tablet should i take the test?will the values differ?
There is no need for a fasting for the test
you can also take the tablet and go for the test , as usual
does this alter the valyes?
there will be no change in the values
the TSH is based on a long term feedback, due to hormone levels in the blood
and not based on the regular intake of the tablets
the tablets, you take contain T4 hormones
if the levels are adequate, then the TSH levels will be stabilised and be normal
if the levels of T4 , is lower, than is needed, then the TSH levels, will be elevated, indicating need to icnrease the dose of your medications
if the dose of T4 (Your medication dose), is higher, then the TSH will be lowered, which would indicate the need to lower your dose of your medication
have u followed my suggestions ?
and its realy helpful
one more thing last time when i met my endocrinologist he asked to go for another test ANTI THYROID PEROXIDASE ANTIBODY. do i need to take it again tomorrow along with free t4 and tsh?
yes, this is a test, to know the cause of your low thyroid condition
you should definitely undergo the test
last time the value came to be 70.4
wht does tht indicate?
you mean the test was done earlier ?
yes last month it was done
do i need to take it this month also
in that case, your doctor, wants to check, if the treatment being provided is helping to lower the titres or not , in other words, it is to check , if the medications are helping to correct the underlying condition or not
yes, you should repeat the test again
actualy last time random sugar level test came to be normal
and now i am taking thyronorm 25mg daily will that affect the sugar levels?
no, the thyroid hormones, do not affect the glucose levels directly
but, when severe hypothyroidism, develops and is not treated, the cholesterol levels can become elevated
As i said, the thyroid hormones, do not cause any change in your sugar levels
the hormones are being given, to you, as your body is not producing them properly
and those hormones are needed for the welling being , growth and development of all tissues and cells in your body
actualy my tsh was 5.99 last month.will this affect the baby?
lack of them, will cause cell metabolism and growth to be affected , and in case of pregnancy, such lack of hormones can cause mental regardation, in the fetus
SINCE medications have been started to fix the condition, you need not worry
the TSH at that point, is just slightly higher, and it will not cause any major issues or problems
actualy this is my second pregnancy and i didnt have this thyroid problem during my first pregnancy.will this continue lifeterm or tsh levels revert back to normal after delivery?
yes, it is possible, for the condition to subside after pregnancy
and in such case, the thyroid medication, may be stopped
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