(I don't really call him doctor Phil, but his first name is Phillip. I think he's a pretty cool guy, and he's been my dcotor for 12 years.)
I saw my doctor today. I had blood work done a couple weeks back and this was a follow-up appointment.
I was somewhat anxious to see what he would choose to do about my irregular TSH reading. I called his office shortly after my lab work and asked the nurse if he would want any more labs done related to my thyroid function. I was thinking T3, T4, Reverse T3, anitibodies.... He didn't.
So, today he told me that he wasn't wanting to "jump to treat" the thyroid situation because he wanted to see that my levels were progressively climbing. The tricky bit, is the fact that adjusting my thyroid activity might impact my heart arrhythmia. Personally, I think it's all mixed together, because taking beta-blockers can be a factor in hypothyroidism. I've developed this irregular TSH reading since being diagnosed with atrial fibrillation and taking beta-blockers. Hmm...
During the time that I was waiting to see him I ordered a supplement that is highly reviewed for supporting thyroid function and balancing metabolic activity. I have been taking it for about a week and I think it has helped. I know it's effecting me in some way because I'm noticing that my energy is better and I noticed a few more brief episodes of arrhythmia in the first couple days I was taking it. Those have tapered off, and I'm feeling fine. I'm taking less than the recommended dose because I don't want to take more iodine than necessary. Selenium is also included and it has been shown to reduce the presence of thyroid antibodies.
So, on other fronts... Dr. Phil was happy with my a1C (6.3), but mostly because we reviewed the sensor's standard deviation for the past 2 weeks. My sensor data showed an average of 125 mg/dl with a standard deviation of 28. This means that my general pattern has me between 111 and 139 mg/dl. With no hypos, we were both happy with it. He said he didn't think there would be much benefit to getting my A1C any lower. But, if I can do it, I'd rather get it as close to normal as possible.
I asked him to prescribe Symilin and he did.
He said he has had about 3 other patients who have tried it, but all of them didn't like it and went off of it. He said they had been proactive and asked for it, but the side-effects didn't agree with them. I'll see how I do with it. I also got an Rx for a glucagon emergency kit. It was recommended as a precaution when using Symilin. I haven't had any serious lows, but it's good to be prepared if you do have one. Especially, if you are trying something new.