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What Does The Following TSH Result Indicate?

Posted on Fri, 31 Jul 2015

Question:
My mother is 65 years old. History of breast cancer survivor. Diabetes type 2. Neuropathy. weights-120 height: pounds. 5'5"

Thyroid stimulating hormone results are as follow:
April 5, 2010 2.87
March 8, 2012 4.77
March 16, 2015 5.16 XXXXXXX 4, 2015 2.54
Do you think she should be on medications? Do you recommend dietary changes?

Thanks you!!

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
I don't advise for thyroid medicines based on latest report.

Detailed Answer:
Hello

I don't advise for thyroid medicines based on latest report(June 2015),though it was towards upper limit in earlier report.
Latest TSH value is within normal limit.It is also important to assess clinically.
There is no need of dietary changes due to this finding.I presume that she is following dietary restrictions due to her diabetic status.
It is also important to know her latest blood sugar report.

Generally she should take high fiber diet.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (22 hours later)

Hello Dr XXXXXXX

So we get a diagnosis for my mom BULLOUS PEMPHIGOID (BP). As she was diagnoses with breast cancer. She was treated with lumpectomy, Chemotherapy, and radiation therapy. After the treatment she developed diabetes and neuropathy. Do you think she skin condition BP is from radiation.

She started prednisone. Which has side effects. Causing hyperglycemic effects despite taking Metformin. Have you seen patients with this disorder. And in your opinion is it life threatening? What types of treatment are there?

Thank you!

Answered by Dr. Indu Kumar (15 hours later)

Brief Answer:
Bullous pemphigoid may develop after radiotherapy.

Detailed Answer:
Hello

Bullous pemphigoid(BP)may develop after radiotherapy.
She is getting rightly getting steroids.This is the main treatment.
Hyperglycemia is a side effect of prednisolone.She may need dose adjustment of oral anti-diabetics.
I have seen BP case during my internship.
This is generally a self limiting condition but it may be serious is old patient with poor general conditions.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar