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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnancy Through IVF, T4 Range Less, Slight Increase In Blood Sugar Level. Using Thyronorm. Advice?

Hi, I started my infertility treatement in 21/01/2011, at that time the following was my thyroid profile results:

T3: 1.04 ng/ml, T4: 7.5 mU/L, TSH: 3.57 mIU/ml, Free T4: 0.94 ng/ml.



Now I got pregnant in January 2013 by IVF procedure. And there was no thyroid profile test done before pregnancy.

I am now carrying twins. During my 20th week of pregnancy, thyroid profile test was done and the following are the results:

T3: 2.19 ng/ml (Range: 0.8 - 1.81)

T4: 10.8 mg/dl (Range: 3.2 - 12.6)

TSH: 3.01 mIU/ml (Range: 0.35 - 5.50)

Free T4: 0.84 ng/ml. (Range: 0.89 - 1.80)



The following are my gestational glucose tolerance results in 20th week:

Patients weight: 64

Patient height: 157

Glucose oral: 100 gms

Fasting: 83 blood glucose mgs/dl

60 mins: 172 blood glucose mgs/dl

120 mins: 133 blood glucose mgs/dl

180 mins: 94 blood glucose mgs/dl

I was told that I have mild sugar and this needs to be controlled thru diet.



I was also told that my Free T4 is less and have been prescribed Thyronorm 100mcg. After taking this, I feel very fast heart beats and I am hungry a lot. Since I am hungry all the time, I have got acidity as well. I have been taking thyronorm for past 4 days, and today I feel acidity is better.



I would like to know if my thyronorm dose prescription is too high (since my Free T4 is only a little less)? What would be the correct thyronorm dose for me?

Also would like to know if there is any link between my thyroid being less and high blood sugar? Will thyroid treatment automatically reduce my blood sugar level?

At this blood sugar level in 20th week of pregnancy, is diet control enough or is insulin needed?
Tue, 11 Jun 2013
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Ayurveda Specialist 's  Response
Rather than thinking upon the dose of thyroid and its therapeutic use nowadays, facilities are available to assess the Thyroid levels of fetus whether anything is effecting or affected by them through the procedure cordocentesis and this can also help in correcting the measures require may be only for one of the fetus.

Hence, it will be my humble advice to go for the diagnosis first because the things are more concerned with your children.

For maintenance of your own levels you could rather start with TAB.RASPACHAK YOG is an Ayurvedic Formulation and will cover both(Thyroid + Blood Sugar Level) of the things without any ill effects. You shall take 4tablets (usually of 250mg each) thrice daily.

Hope the info is sufficient for more queries and precise answers write directly to me.. Best Wishes!!!
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Pregnancy Through IVF, T4 Range Less, Slight Increase In Blood Sugar Level. Using Thyronorm. Advice?

Rather than thinking upon the dose of thyroid and its therapeutic use nowadays, facilities are available to assess the Thyroid levels of fetus whether anything is effecting or affected by them through the procedure cordocentesis and this can also help in correcting the measures require may be only for one of the fetus. Hence, it will be my humble advice to go for the diagnosis first because the things are more concerned with your children. For maintenance of your own levels you could rather start with TAB.RASPACHAK YOG is an Ayurvedic Formulation and will cover both(Thyroid + Blood Sugar Level) of the things without any ill effects. You shall take 4tablets (usually of 250mg each) thrice daily. Hope the info is sufficient for more queries and precise answers write directly to me.. Best Wishes!!!