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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I was told by my HCP that I have elevated

Answered by
Dr.
Dr. Dorina Gurabardhi

General & Family Physician

Practicing since :2013

Answered : 8742 Questions

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Posted on Sun, 10 Mar 2019 in General Health
Question: I was told by my HCP that I have elevated thyroid antibodies and insulin levels. What does this mean and what questions should I ask when I am sent to the endocrinologist?
doctor
Answered by Dr. Dorina Gurabardhi 1 hour later
Brief Answer:
Diagnosis and question to discuss with the endocrinologist explained below.

Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I understand your concern.

The presence of thyroid antibodies is related to an autoimmune disorder which cause a thyroid disease.

In this medical condition, your immune system makes antibodies that attack normal tissue.

High insulin level can be related to insulin resistance.

This medical condition is related to the fact that the cells are resistant to the insulin and are unable to use it as effectively.

You can discuss with the endocrinologist about the specific treatment.

You can also ask the endocrinologist about the diet that you should follow.

Hope I have answered your query. Let me know if I can assist you further.


Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Dorina Gurabardhi 2 days later
My blood sugars are 95-135 at least two hours after eating. So, does that mean I'm compensating? Also, how can I be insulin resistant to my own insulin? I am not on any extrinsic insulin. Is this directly tied to the thyroid or a different problem?
doctor
Answered by Dr. Dorina Gurabardhi 13 hours later
Brief Answer:
Thyroid issues can be related to insulin resistance.

Detailed Answer:
Hi again dear,

Your blood sugar level seems to be related to pre-diabetes.

In prediabetes the blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes.

While on insulin resistance, the cells are resistant to the insulin that your body produces.

They are unable to use it as effectively, leading to high blood sugar.

There are several studies that can relate thyroid issues with insulin resistance.

It can be explained through differential effects of thyroid hormones on the liver and peripheral tissue.

I would recommend to follow diet with lean proteins and plenty of non-starchy vegetables to help reduce insulin insensitivity.

Feel free to ask me again for further clarification.

Take care dear,

Dr.Dorina Gurabardhi
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dorina Gurabardhi 3 days later
Thank you very much for your help with this. I expected to become diabetic during my 50s, and consider myself lucky that it has taken this long. There is A LOT of DM2 in my family and its just now my generation and our children that are looking at ways to lessen effects by early intervention and attempting attitude/lifestyle change.
Seeing my grandfather active fter strokes and AKA amputation, with heart and lung disease, and other family members deling with heavy health issues, it makes you try harder. Again, thank you. God Bless.
doctor
Answered by Dr. Dorina Gurabardhi 7 hours later
Brief Answer:
You are welcome dear.

Detailed Answer:
Hi again dear,

I am glad that I could help you.

You are welcome for any other queries in the future.

Wishing you a good health.

Take care,

Dr. Dorina Gurabardhi
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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