Hi. I am 30 years old and diagnosed diabetic (type 2) in mar 18. I was put on cetapin 1gm 2 times and insulin 6unit lantus. I got conceived in july 18 (sugar controlled) but now I qas diagnosed with low tsh level (.005) and high t3 t4. I was given neomacrazole 15 mg 2 times along with cetapin 1gm 2 times and insulin (levemir) 6 units. Now I am 18 weeks pregnant and my t3 y4 and sugar ia controlled but tsh level is still suppressed (.005). today I visit a new doctor whereby he advised that you r on wrong treatment and it may hurt your child mental health. please guide what to do. 1. Level 2 ultrasound is clear 2. Doctor suggests me to be completely on insulin and stop taking cetapin 3. Neomracozole to be. Completely stopped. please guide.

Dr. Rishabh Kumar RanaSexologist13yrs exp

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Hi lybrate-user, I agree with your doctors later diagnosis where he is suggesting you to stop taking oral hypoglycemics. You are in all certainty suffering from Gestational Diabetes and in Pregnancy TSH is usually increased as the pregnancy progresses. So if the sugar is controlled and the HbA1C is maintained oral hypoglycemics should be stopped. Once the sugar level returns to normal after oral hypoglycemics are stopped the TSH should also increase. For more details so visit your Endocrinologist / Gyanecologist or consult me online.  

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Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Thanks for the query. WIth a complicated condition you should have visited a competant endocrinologist right in the beginning. Because Neomercazole is not given during the first few weeks of pregnancy. For Hyperthyroidism if therre is a need Propylthyuracil is given. Please follow the advice of the new doctor. See that you glucose levels are maintained between 90 to 120 mg through out the day. Thanks.  

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