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It seems to me that nearly every female in the diabetes online community has thyroid issues also. I got curious about this and did some reading.
Nearly a third of Type 1 patients have thyroid disorders, usually an underactive thyroid. It does indeed affect more women than men. This is because if you have one auto-immune disease, like Type 1, you are at higher risk for another. As if people with diabetes need another challenge. The linked article also cites a higher than normal incidence of thyroid disease in Type 2 diabetics, but no statistics are given.
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I decided to try the bioidentical hormone treatment. After reading books, studies and general information, I feel that I made an educated decision. I went to a seminar and personally talked to the doctor who founded the clinic. I spent hours on the web looking through positive and negative feedback from research studies, personal stories and major medical journals. And I used my brain.
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I went for my 6 month endo appt week before last. I finally got my bloodwork back in the mail. That's one thing I really dislike about my doctor. I think it would be so much more effective to have the test results in front of us for the discussion.
By the way, where I write "doctor", feel free to substitute "physcian's assistant". As with most doctors who are in demand, he has 4 PAs that also see patients. The office tells you that you can make appointments with anyone, but if you want to see the actual MD, it takes a couple more months of waiting or accepting the oddball times, like 7:45 am on a Monday or 11:55 on a Friday - they close at noon on Fridays.
My HbA1c went up from 5.5 to 5.7. I realize that is still an awesome result and nothing to complain about, but I'm sure it's directly related to the 12 lbs I have gained in the past 6 months. That dreaded holiday weight that I was so afraid of? Yes, that would be about 8 of those pounds.
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I met with my bio-identical hormone specialist on Tuesday. They drew blood, so we'll see what physical differences can be seen from my treatment. I've had a lot of success with relief of symptoms (regular periods, acne clearing, less fatigue, more energy, better moods).
I am still on cortisol, progesterone, and several kinds of supplements (one to help me sleep, one to lower my cholesterol/triglycerides, one to raise my vitamin levels). I started out on the thyroid, but had some side effects and went off of it. The plan was to get my other hormone levels stabilized then retry the thyroid.
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When I wrapped my
last entry, I had just received my diagnosis of type 2 diabetes, in a non-standard manner.
In hindsight, I'm sure she was just trying to
scare me straight. Maybe I'm not
really a type 2, but that's what the paperwork says and as you'll see; if it's not 1000% correct today, chances are very high that it will be within the next 10 years.
Gosh, definitely don't tell my insurance company, or I'll be
scrounging for strips like my friend Julia.
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I'm having a good week for the walking goal. I have walked 5 out of 7 days. The 2 days I skipped were over the weekend and I think I was active enough with errands, chores and my kids. I have my employer to thank for the motivation.
I have signed up for a program offered through my company to improve my health. While a lot of it is just reading; not much of it new information, they offer coaching sessions as well. The first interview was not inspiring at all; I seemed to know more about Type 2 diabetes and my thyroid condition than the interviewer did. But she did set me up for a consultation with a dietician. The dietician is the one who is holding me accountable for my exercise. She will be calling me once a week for a while to keep me on track.
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When I was in the third trimester of pregnancy last spring, I began asking about breastfeeding and my various medications. Thyroid was a no brainer, since it's just replacing what my body doesn't make itself. If I had needed insulin after delivery, that was no problem for the same reason. The big issue was taking metformin.
My Ob/Gyn said "Ask your Endocrinologist." My pharmacist said
"OH NO, NOT metformin!" My endo said "No, you can't take metformin while breastfeeding." His Physician's Assistant later said "Sure, you can take metformin and nurse, but Dr. Endo isn't comfortable with our office telling you that officially; so do your own research and make up your own mind."
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I've been thinking more about the possibility of adding insulin to my Type 2 treatment. My last post about it raised some interesting comments. I have a bunch of blood test results due in this week that will help make the decision too.
I do know that insulin is just a medication like my thyroid pills or the metformin I take. The only difference is the method of delivery. Since insulin is destroyed by stomach acids, it has to be injected to do any good.
I also know that it really does carry a stigma that other medications do not. For me, it seems an admission that I am not holding up my end of the bargain treating my diabetes. I
should be losing more weight, exercising and eating better. I think just about everyone can agree with that statement - with Type 1, Type 2 or no diabetes at all.
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Julia
I've often thought about making some sort of subtle statement around the holidays regarding diabetes. It's a tough time of the year when you have diabetes - there are so many sugar-laden treats around and your schedule is usually out of whack so blood sugars and testing can fall by the wayside in the whirl of activities.
So for the last few months, I've been saving Olivia's insulin bottles. I planned on putting them on a string of lights once I had enough and then putting them on the tree.
Last night, I happened to be in CVS, getting my thyroid medication (and gummy bears, as you do) and I saw these Tiny Lights and I thought "Perfect!" I grabbed a box and was on my way.
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We all know that diabetics have an increased risk of everything from heart disease to kidney disease to glaucoma. Because of this increased risk, it is very important for diabetics to have regular checkups in many fields. Personally, I am always scheduling appointments for one thing or another. My main appointments include the following:
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