The following are the tests doctors use to screen diabetes.
Fasting Plasma Glucose
For this test, the doctor requires a patient to not eat during the night and then takes a blood sample the following morning. The doctor checks the blood sugar level of the blood; two blood samples to increase accuracy. A blood sugar level of less than 100 mg/dl is normal; the patient does not have diabetes. A blood sugar level of 100 mg\dl to 125 mg/dl means the patient is in the prediabetes stage. If the patient does not change their lifestyle, they will get diabetes after some time. A blood sugar level of more than 126 mg/dl means the patient has diabetes.
This test screens the blood sugar level of a patient over a two to three months’ period. Like in the fasting plasma glucose test, the doctor takes two or more tests for accuracy. The A1C levels in a diabetic patient are more than 6.5. In prediabetes stage, the levels are somewhere between 6.4 and 5.7. People without diabetes have A1C levels below 5.7.
Oral Glucose Tolerance
Another test the doctor may conduct is the oral glucose tolerance test. In this test, the doctor requires the patient not to eat anything overnight and visit the clinic for the test the following morning. Once at the clinic, the doctor will screen the blood sugar level then administer a sugary fluid to the patient. The patient is then required to remain still as the activity would interfere with the blood sugar tests taken in one-hour intervals for the next two or three hours.
In this test, blood sugar level below 140 mg/dl is normal. Levels between 140 mg\dl and 199 mg\dl mean the patient is in the prediabetes stage. A figure more than 199 mg/dl and the patient is diabetic.
Urine analysis is conducted if the doctor thinks the patient might be having Type I diabetes. The test screens autoantibodies and ketones in the urine. If they are present, the patient has diabetes.
Diabetes screening is necessary if you have the symptoms mentioned earlier.
Top hacks for thyroid-related depression
This enables one to feel happier during winter months and rainy days by allaying low mood disorders.
Triggers for Hashimoto’s
Getting to know about these triggers helps one in managing depression especially if it originates from thyroid dysfunction. There are people who have experienced a relief in symptoms or a decrease in thyroid antibodies due to modification in diet.
One of the reasons why people should start on gluten-free diet first is because some people could get into remission just by getting rid of certain foods, normalizing thyroid antibodies and thyroid function. Nevertheless, this does not usually happen for all people and this has to be dug deeper. There are other factors that could trigger Hashimoto’s disease such as stress, infections and toxins.
Everyone is encouraged to get their thyroid hormone tested since this helps in identifying many underlying health issues. People should also heal their triggers; normalize their numbers and thyroid function as a way of getting into remission.
An Italian Study was done on people who had Hashimoto’s, Celiac disease and subclinical hypothyroidism. The results showed that those who were gluten-free for a whole year, 71% normalized their condition and 19% normalized thyroid antibodies.
One of the clients shared this information with a specialist who recommended a test for food sensitivities on her. It was found out that she was sensitive to gluten, diary, pineapples and peaches. However, after three days of dairy and gluten-free she was relieved from the stomach pain, bloating, acid reflux and IBS she was experiencing.
Normally, a person may have one or two food sensitivities and if one has more than this there could be another contributing factor such as an infection. The most common sensitivities include grains especially corn, dairy, gluten, seeds, nuts and nightshades like peppers and potatoes.
The medical community has recently been employing the use of thyroid medication to lower the body’s TSH, making the thyroid rest and reduce the production of antibodies. It is important to let the thyroid sleep because, in Hashimotos’, plenty of damage makes the body have a hard time manufacturing thyroid hormones.
When there is a high rise in TSH, the thyroid works hard making the body have many symptoms. Furthermore, there is the attraction of immune cells that have the ability to upregulate an autoimmune attack on the thyroid because, the harder the thyroid works, the more visible it is to the immune system. Thyroid medication makes the thyroid to work less hence less visible and reduce antibody production. Antibody reduction is a critical component in lowering the thyroid gland autoimmune attack.
The rate of thyroid disease affecting people worldwide ranges between 10 to 20%, this is mostly in the USA and other westernized regions. In 2013-2014, Synthroid was the drug of choice. The medication is a synthetic thyroid hormone that makes symptoms go away and reduce some attacks on the thyroid since it is less visible to the immune system. Synthroid works well for many individuals, and its active ingredient is T4 that usually needs conversion to T3, which is biologically active.
For people whose body cannot convert the T4, a compound thyroid medication (T3 and T4 combination) is necessary. In the drug, some of the active hormones are pre-converted. The medicine is old but available as a generic drug.
Medications like the WP Thyroid and Amour plays a significant role in assisting patients. The medication addresses the cause of Hashimotos’, preventing other autoimmune conditions such as rheumatoid arthritis and lupus from developing.
Medication can sometimes slightly suppress an autoimmune attack making the thyroid less visible. Because of this, doctors are reluctant to test for Hashimotos’ because if there is an attack on the thyroid, stopping the attack becomes a problem.
The reaction of antidepressants is mixed depending on the patient. Neuroleptic drugs (Seroquel and Zyprexa) are the most severe of such drugs.
Initially, health practitioners administered these drugs to treat schizophrenia but in recent times, they treat depression too. Their secondary effects include:
- Gain weight
- Develop diabetes
- Socially withdrawn
- Muscle jerks
- Pain when contracting muscles
- Severely drowsy
Neuroleptic drugs should be given in limited amounts or none at all, especially in adults.
The negative impacts of lithium on the thyroid are as listed below:
- Increase the prevalence of thyroid autoimmune occurrences
- May cause an underactive thyroid
- Increased frequency of thyroid diseases and malfunctions
- Malfunctioning of the thyroid especially during pregnancy which can turn out to be harmful to the unborn child
It is recommended, especially in the kitchen, for one to carry out reverse osmosis to exclude lithium from water.
Central hypothyroidism may develop after dopamine infusions. Dopamine restricts the release of TSH during low T3 and T4 levels, hence no thyroid hormone is produced. Adderall, Wellbutrin and Ritalin are drugs which mask a thyroid disorder. When tests are conducted, TSH levels appear to be normal but are dangerously low.
Thyroid medication functioning as antidepressants
In the results of the STAR*D survey, some of the people responded to T3 medication and not antidepressants, concluding that thyroid medication can act as antidepressants.
People on synthroid still experience depression and some doctors start antidepressant medication. Medication that has both T3 and T4 is more helpful in getting healthier.
A patient should start from a low dose increasing it progressively until they find the most effective one. They should always go for frequent lab tests to gauge their recovery.
- Ill-temper and trembling
- Hair loss
- Irregular heart-beat
- Sweating profusely
Medication with gluten
Some people react to gluten, especially with Celiac disease. Taking antibiotics will ease symptoms.
Medication with dye and lactose
Lactose free medicine such as tirosint is recommended. Some people are sensitive to both dyes and lactose impairing absorption of medication.