Hello. I've reviewed your blood reports and your symptoms. There are a few important things we need to address to get you feeling better.
1. Understanding Your Blood Reports
Diabetes: Your
HbA1c is 7.2%, which confirms a diagnosis of diabetes. An HbA1c above 6.5% means your blood
sugar has been consistently high over the last few months. This needs active management through diet and likely medication.
Thyroid: Your Anti-Tg and TPO antibodies are very high. This tells us you have Hashimoto’s Thyroiditis, an autoimmune condition where your body attacks your thyroid. However, antibodies only show the cause; I still need to see your
TSH and Free T4 levels to know if your thyroid is actually underworking (hypothyroidism) right now.
2. The Persistent Cough & Wheezing
A cough lasting more than two weeks with "wheezing" is something we shouldn't ignore. In your case, it could be caused by a few things:
Acid Reflux (LPR): Sometimes, stomach acid can travel up to the throat (silent reflux) and cause irritation, a dry cough, and even a wheezing sensation. Since you mentioned a "stomach problem," this is a strong possibility.
Thyroid Pressure: If your thyroid is swollen due to the high antibodies, it can sometimes press against your windpipe, causing that throat irritation.
Airway Sensitivity: We need to rule out adult-onset asthma or a lingering bronchial irritation.
My Recommendations for You:
Check TSH & Free T4: If you haven't had these tests done yet, please do so immediately. The antibodies tell us "why," but the TSH tells us "how much" medicine you might need.
Physical Examination: You should see a doctor in person so they can listen to your lungs with a stethoscope to confirm if that "wheezing" is coming from your chest or just your throat.
Endocrinology Consultation: You need a specialist to help bring that 7.2% HbA1c down and manage the Hashimoto’s.
Reflux Precautions: Until you see a doctor, try eating smaller meals and don't lie down for at least 2–3 hours after eating. This will help if the cough is caused by acid reflux.
A quick question for you: Is the cough worse at night or after you eat? Also, have you noticed any swelling or a "full" feeling in the front of your neck?