I had a fine needle biopsy done on nodules in my thyroid. It came back negative, but the surgeon and my endo suggested I take out my thyroid. My age 62, I had hashimoto's disease of the thyroid, and I had a goiter. I went with what they suggested. When my doctor opened me up, Aug. 28th, 2009, he saw immediately that the nodule was cancerous, as well the nodule was wrapped around one vocal chord, and was also pushing into my espohogous. I had felt fine, no symptons before. Because he had to cut one of the vocal chords, he didn't remove the other side. More for legal reasons, because I didn't sign for a possible tracheotomy if it would be necessary. Nov. 11th, 2009, I had the other half of my thyroid removed with no complications. The biopsy report on that lobe showed 4 small cancerous spots.
I just came out of the hospital, where I stayed for 2 days having the radioactive iodine treatment as further precaution. Also, the cancer had not spread to my espophogous, nor to my lymph glands, but could have had I let this go.
My doctors explained to me that when a biopsy is done on the thyroid, because the pathologist doesn't actually have the thyroid or nodules in their hands, they reserve 15% for it being malignant. Sometimes a biopsy does not catch any cancerous cells, yet they could still be there.
I feel lucky that I opted for this elective surgery and now have a clean bill of health. My father's thyroid cancer had metastised to his back because he stopped seeing his endo for years and years. He waited too long, even tho that is not what he died from. He found out he had thyroid cancer because of his back and legs giving him a problem.
The symptoms you are having are not likely due to the thyroid nodule but I agree that ultrasound follow-up to check the nodule is important.
Would see your primary doctor to have symptoms evaluated including labs for electrolytes, thyroid, etc. This may be reactive hypoglycemia (as you suggested). I am not very familiar w/ Huntington's.