My mother is 68 years old Type 2 diabetic / hypertension patient. Latest results are: HbA1c is 8.2. Hb is 10.4, Creatine is 3.7. She is currently on H.Mixtard 30 (26-0-10 ), telmikind (0-0-1), Thyronorm 12.5 (1-0-0). Thyronorm was started just 2 days back as we discovered she has TSH of 11. She is currently very weak, mentally confused, unable to walk without assistance. We believe that the weakness could be because of high TSH, and anaemia. We have started treating her for TSH, any ideas on how to treat anaemia considering she has CKD? Also, any opinions on what could be causing muscle weakness/ mental confusion etc? Thanks in advance.

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

92% (11091 ratings)

Ask Free Question

Mr. lybrate-user, Thanks for the query. For a person with diabetes and hypertension, if both conditions are not well controlled, general weakness is always possible. Plus presence of hypothyroidism will add to it. With HbA1c% of 8.2, her diabetes is not in good control. It also has affected her kidney functions (high creatinine). No mention of her BP readings, so can not comment. TSH 11 mU/L is high, hence the dose of 12.5 mcg is bit too low. Hemoglobin 10.4 is unlikely to cause such a severe weakness. It is the effect of uncontrolled diabetes, hypothyroidism, hypertension and anemia. Hence first thing is to control her blood glucose and BP. Plus TSH should also should be brought to around 5 mU/L. It is also necessary to bring down creatinine level. This kind of a case has to be handled by the competent local physician. Thanks. 

0 person found this helpful