The Connection Between Hypothyroidism and Low Blood Sugar: What You Need to Know
- Inga Zubenko FDN-P, Health & Wellness Coach

- Apr 23, 2024
- 2 min read
Updated: Oct 9, 2024

Struggling with hypothyroidism and low blood sugar?
Discover how an underactive thyroid can impact glucose levels and what you can do about it.
Hypothyroidism is a medical condition characterized by an underactive thyroid gland, which means that the thyroid gland does not produce enough thyroid hormones. These hormones regulate various metabolic processes, including how your body uses and manages glucose (sugar). As a result, hypothyroidism can affect blood sugar stability in several ways:
Insulin Resistance: Hypothyroidism can lead to insulin resistance, a condition where your body's cells do not respond effectively to insulin, a hormone that regulates blood sugar levels. When your cells become less sensitive to insulin, it can be more challenging for glucose to enter them, leading to elevated blood sugar levels.
Slowed Metabolism: Thyroid hormones are essential for maintaining a healthy metabolic rate. When thyroid hormone levels are low, your metabolism slows down, which can result in a decreased rate at which your body processes and uses glucose. It can contribute to higher blood sugar levels.
Altered Glucose Production: Thyroid hormones also influence the liver's ability to produce glucose when needed. Hypothyroidism can disrupt this process, leading to irregular glucose production and potentially higher blood sugar levels.
Impaired Glycemic Control: Hypothyroidism can make it more challenging for your body to control blood sugar levels, leading to fluctuations in glucose levels throughout the day. This instability can result in symptoms such as fatigue, mood swings, and difficulty concentrating.
Weight Gain: Many individuals with hypothyroidism experience weight gain, further complicating blood sugar management. Excess body weight is a risk factor for insulin resistance and type 2 diabetes.
Coexisting Conditions: Hypothyroidism often coexists with other conditions, such as polycystic ovary syndrome (PCOS) or metabolic syndrome, which affect blood sugar regulation.
It's important to note that the relationship between hypothyroidism and blood sugar stability can vary from person to person. Some individuals with hypothyroidism may develop insulin resistance and experience blood sugar fluctuations, while others may not have significant issues with blood sugar control.
If you have hypothyroidism, working closely with your healthcare provider to manage your condition effectively is essential. It may involve thyroid hormone replacement therapy to normalize thyroid hormone levels, lifestyle modifications, and regular monitoring of blood sugar levels if you are at risk for diabetes or insulin resistance.
Maintaining a healthy diet and exercise regimen can also help improve blood sugar stability and overall well-being.
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