instruction: hello doctor I am hypothyearoid thyearoid gland destroyed by radioactive iodine 14 years ago my fasting blood sugar level is always in the range of 1 to 5 I have tried intermittent fasting even after hours it does not drop below 0 postprandial is in the range of 5 10 I do not have any sugar or rice or bread in my diet only carbohydrates is brown chapatis am I type diabetic I take 200 mug levothyearoxine everyday
output: hi from your history it is evident that you are on replacement therapy for hypothyearoidism post radioactive iodine and also known diabetic since months from your history age and other parameters it is type diabetes mellitus it is not only carbohydrates which contributes to the same insulin resistance is the main culprit from the details above it is clear your blood sugars are not under good control hba1c I would recommend to monitor your blood sugars at different point of time to know at which time it is increasing that is monitoring before and hours after breakfast lunch and dinner using a glucometer and want to adjust your diabetic medications accordingly lifestyle modification diabetic diet regular aerobic exercises for about 30min a day avoid simple sugars juices fruit with high glycemic index modify oral antihypoglycemic agents according to blood sugars