Possible Reasons for Poor Diabetes Controla. Incorrect insulin dosing or timing.b. Insulin resistance or absorption issues.c. Thyroid disorders affecting insulin effectiveness.

Impact of Thyroid Medication on Diabetesa. Thyroid hormones influence metabolism and glucose control.b. Potential interactions between thyroid medication and insulin.

Importance of Monitoring and Adjusting Treatmenta. Regular blood glucose monitoring is crucial.b. Possible need for insulin dose adjustments.

Lifestyle and Other Contributing Factorsa. Diet, physical activity, and stress can impact diabetes control.b. Other health conditions may also play a role.

Recommendations for Next Stepsa. Consult an endocrinologist for a comprehensive evaluation.b. Consider tests like HbA1c and thyroid function tests.c. Adhere to medication schedules and lifestyle modifications.