Tuesday, July 16, 2013

Endocrinologist visit



I saw my endocrinologist yesterday for my yearly thyroid checkup. He is very good about answering questions, so I asked him about whether going gluten-free would help with my Hashimoto's. He said because I am suppressing the thyroid completely with medicine, the question of whether something like that would help my thyroid work better is moot. All my thyroid hormone comes from the pill I am taking.

The good news is that my thyroid nodules have shrunk, not grown, because I am taking such a high dose of medicine. My weight has also gone down 5 pounds since we talked last year, and though that is not stellar, it was enough that even fully clothed, after breakfast, my BMI is below 30.  Small victories are better than none.  He asked me about my habits and was happy to hear that I exercise almost every day.

I had some blood drawn for testing -- not only thyroid but also, because I asked for it, a diabetes screening. I have always done fine on a fasting blood glucose test, but he is going to do an A1C test because of my family history. I have a couple of relatives with very serious complications from diabetes. Hopefully it will be an all-clear.

I have been thinking that, even though it doesn't seem like it, my weight has been a gift of sorts, because it has motivated me to make a lot of changes to my habits. In my 20s, I wouldn't eat vegetables except a very few, I ate mostly simple carbs, was not at all aware of or interested in protein, and did not exercise.  If I had been one of those "lucky" people who don't gain weight easily, I may never have changed. There are relatively thin people who get diabetes.

My habits aren't perfect, but they are pretty good: I exercise almost every day, mostly at high intensity.  I center my meals around vegetables and make sure to get lean protein. I minimize sugar.  I buy sprouted bread and whole grains. I don't keep junk food in my house. I track my calories.  I drink a beer or a glass of wine now and then, but it's not a big thing for me, so I usually skip it and save the calories for food.

I could definitely improve by having less carbs and doing better at keeping those habits when eating outside the home.  Those are definitely the areas I'm working on now. There was a special event on campus yesterday so I made sure to have a filling lunch at home before going, and so I only sipped water instead of being tempted by the buffet. There was nothing good for me on it except a few raw veggies. I'm definitely working on it. Having a weight goal for the week has definitely helped. 

4 comments:

  1. All tests were great, A1C was 4.5, toward the bottom of the normal range. That is a huge weight off my mind.

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    1. Great lab results. The A1C indicates that you are not heading into diabetes territory. I need to work some more on mine, even though it is still in the normal range. Glad your thyroid nodules have shrunk.

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  2. One thing is important to know that improper calibration of the ultrasound machine can alter appearance on the screen. For example, the inflamed area can appear similar to the nodule.
    This is why some nodules found in the clinic are dismissed by more experienced staff members who are using properly tuned machines.
    While this info may not fully apply to your case, it is good to know.

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    1. My specialist did the test in his office.

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"Count your calories, work out when you can, and try to be good to yourself. All the rest is bulls**t." -- Jillian Michaels at BlogHer '07