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An elevated thyroid-stimulating hormone may indicate an underactive thyroid, which can lead to fatigue or weight gain. The elevated blood sugar level points towards potential insulin resistance, often linked to lifestyle factors like diet and exercise. The mildly high hemoglobin A1c indicates you're in the prediabetes range. I recommend focusing on a balanced diet rich in fruits, vegetables, and whole grains, alongside regular physical activity. It’s also important to consult a healthcare professional for an in-depth evaluation and tailored advice. They can provide the best guidance moving forward.

Elevated blood sugar levels may lead to symptoms like increased thirst, fatigue, and frequent urination. Factors contributing to these levels include diet, stress, and medication adherence. To help regulate your blood sugar, consider incorporating a balanced diet rich in whole grains, vegetables, and lean proteins, along with regular exercise. Monitoring your levels consistently is vital. While your current medication is important, I encourage you to consult your healthcare provider to discuss your results and any adjustments that may be necessary for optimal control. 

When the levels of your thyroid are too high or too low, you may experience a lot of discomfort. Signs and symptoms of high levels of thyroid hormone in the bloodstream (hyperthyroidism) can include nervousness, insomnia, and spontaneous weight loss. You will need to collaborate with your doctor to determine the right amount of medication for you. If you think that your levels are off, you must raise this issue with them.