frustrated
Emily
main issue, though maybe my BG wouldn't be quite so high if I had eaten
better.
I called the endo today to see if my test results were in, and if I
could get started on SOMETHING in the way of meds or insulin. I mean,
it's been nearly a week now, and my BG's are steadily rising. The CDE
the first night of class thought I should probably be on SOMETHING,
maybe even insulin, to keep the BG's under control, until we knew more.
But, that hasn't happened. The tests weren't back Friday, so I had to
wait all weekend. I now have not been under 200 all day, and have in
fact been rising a bit. I actually was at 390 pre dinner. BAD I know. I
was also STARVING!! I got my first over 500 reading today--524 to be
exact. I was kinda afraid to eat dinner, but I WAS SO HUNGRY I had to.
That is what spiked me up to 524. I'm eating like a horse, and not
gaining an ounce. Not really losing either. I'm of course drinking like
a fish and peeing like crazy. I haven't shown any ketones in the urine
though. Oddly, since at lower sugars I was--at least before...
I hope I get started on SOMETHING tomorrow, as I know I don't function
well at these high BG's. the low 200's are now feeling hypo to me,
which suggests I'm spending far more time than I ought to above 300...
Sigh. I know I caught this thing early, but it seems to be progressing
quickly, and I really want to avoid complications. I also know stress
can raise BG, and I know I'm under lots right now. I'm sure I'll fail
the CBC on Wednesday and have a biopsy on Thursday. I've had six CBC's,
all with elevated WBC's only one of which was near normal. Sigh. I can't
really expect a miracle on the seventh one, can I? Plus, my bosses boss
is coming for an inspection on Thursday, and my department is one of the
main ones being inspected. That is stressful, but I can handle it. The
thing that is more stressful, is that I am off Wednesday and Thursday.
I plan to have the department in shining order Tuesday before I leave,
but I have a few associates who don't pull their weight, and I am afraid
to see what it will look like come Thursday. We are "phasing out" those
associates, but it is a complicated process, and basically, we arent'
getting good applicants. If we had some good applicants, those
associates that make things worse would be gone, but since we have so
few people, we need to use them a bit. Sigh. I plan to take some
aquarium water in to be tested on Wednesday, buy a few more fish if the
water looks good, buy some more plants if it doesn't. That way, I can
check up on the department, and make suggestions as for what needs to be
done before Thursday. I haven't yet met the bosses boss, I was in FL
for his first visit. If I don't have a biopsy, I may pop by the store
on Thursday just to get a few things and see him, but if I do have a
biopsy, I'm sure I won't feel like doing that! (Plus I hope to be zonked
out on vailum. I figure if my doc won't o.k. it FOR the proceedure, I
can at least take it afterwards and sleep away the rest of the day...
Or, I can use some of my pain pills to accomplish the same thing.) My
friend who sees this same doc, and had a biopsy quite a while ago said
it did hurt. She also said the doc didn't prescribe pain pills. Well,
I've at least got a stock pile of those from previous
illnesses/injuries/surgeries etc., so I can decide what level of relief
I need and dose accordingly. Of course, I'll stick to non-narcotics
while at work on Friday, but since I always wind up staying late, and
then have to cut back hours sometime, I figure Friday will be a good day
to see if I can jet out early, or come in late. I can also use the
narcotic pain relief at night for sleep, and use the OTC stuff to make
daytime life bearable at work. I'm sure the pain will also not be great
on the BG's. Sigh.
Hey, does High BG cause thinner blood? I'm just wondering, cause it
seems when my BG is high, it's sure easier to get enough for a test than
when it is lower.
I remember someone posting about stress and higher BG's and her stress
raised her BG to 140ish. What I wouldn't give right now to be at 140.
I'm testing ketones, none so far, and I'm not feeling horrid or
anything. I'm also not feeling great--who would with a high BG? I did
try and do a better eating job at dinner, and I plan to try much much
harder tomorrow. I have to be at my best, so I can really get the
department in order. It is looking better than it has been, but
definitely still needs some work. And, even when it sparkles, that
won't last--animals make messes, eat their food, drink their water, and
basically require constant care... So, hopefully, the place will be
neat and tidy when I leave Tuesday, and my associates will do the hard
work required to keep it that way at least through Thursday's visit.
And, hopefully, I'll get on something to lower my BG's starting
tomorrow, and I won't react the way I did to glyburide, and well, life
will be better. Plus, once the biopsy shows nothing unusual, I can put
that piece of my medical history aside. Of course, if it does show
something funny, then I'll have to deal with it, but at least then I'll
know what I'm dealing with...
The problem is, I know I've got diabetes, but I'm not being given many
tools to deal with it right now. I do have diet and exercise and such,
and the info I got from the classes, but well, I don't have any meds or
insulin, and obviously my body needs at least one of the two to get the
BG's under control. Well, I just got a pre-bedtime reading of 497. Not
much different from the 524given meter error. At least it's not going
higher. I wonder how high it peaked? or if It's just going to stay here
until something is done? I shall see in the morning...
Emily
Julie Bove
"Emily" <Nos...@nospam.com> wrote in message
news:4BoJh.14534$PF.7006@attbi_s21...
Yikes! Sounds more and more like you do indeed have type 1. If I were you,
I'd head on over to the local ER where they will give you some insulin.
You've got to do something about it or your BG won't come down. And you're
hungry because high BG causes your cells to starve. I wouldn't wait till
morning.
Ozgirl
people with bg's that high actually get given insulin while
in the ER.
M
are having Bg readings in the 400 to 500's. They will fix you right
up.
You need to go right away because Bg's that high over tax the heart
and it is possible to have a stroke or heart attack or worse. Age will
not matter for this one. Just go right now. Fingers crossed for you!
Michele
On Tue, 13 Mar 2007 03:50:53 GMT, "Julie Bove" <juli...@verizon.net>
wrote:
rk
"M" <wpo...@charter.net> wrote in message
news:5kecv2hqd4cg67jij...@4ax.com...
: Go to the ER right now and tell them that you are a new diabetic and
: are having Bg readings in the 400 to 500's. They will fix you right
: up.
: You need to go right away because Bg's that high over tax the heart
: and it is possible to have a stroke or heart attack or worse. Age will
: not matter for this one. Just go right now. Fingers crossed for you!
:
: Michele
I don't know where you're getting your information from but a
bg of 400-500 isn't going to cause a heart attack. Nor will a ER
in the US do much for you unless you have signs of DKA. Since
she's not showing ketones (which now sounds more like it was
caused from low carbing then lack of insulin) and she's not losing
rapid weight, because at that bg reading, being a new diabetic,
without insulin, she'd be losing probably 5lbs a night! -- weight loss
is the best thing about being a T1.. I can lose 5lbs a night easy if
I skip insulin for just ONE day!
--
Reisa, T1
dx-5/00 asd-7/00
Animas IR1250 pumper
Currently taking a pump vacation
Daily CHO: 100-130gm
TDD: 36-38u
Last A1C: too damn high!
rk
news:4BoJh.14534$PF.7006@attbi_s21...
<snipped to save bandwidth>
: The problem is, I know I've got diabetes, but I'm not being given many
: tools to deal with it right now. I do have diet and exercise and such,
: and the info I got from the classes, but well, I don't have any meds or
: insulin, and obviously my body needs at least one of the two to get the
: BG's under control. Well, I just got a pre-bedtime reading of 497. Not
: much different from the 524given meter error. At least it's not going
: higher. I wonder how high it peaked? or if It's just going to stay here
: until something is done? I shall see in the morning...
:
: Emily
I'm sure you are frustrated. But you aren't going to develop any
complications
in this short of time since you've not had a high a1c for years. Granted a
524,
isn't great, but it isn't going to kill you either. I know it's hard not to
"panic"
when you see such numbers early on, but after years of seeing those high
numbers.. I'm obviously still here and complication free. I also noticed
that
you're exhibiting more T2 trends then T1's. Since you state you're checking
your ketones and have none, at that bg level, you more then likely would
have
them than not. You also would be dropping weight left and right. Being and
feeling starved is very normal for both types at high glucose levels. And
you
stated that you've not been eating very well and not mentioning what you did
eat. So, that definately would cause higher glucose. On a final note, low
carbing
will cause ketones in the urine, which cannot be determined if it's from
early DKA
or low carbing, which is why T1's are discouraged from low carbing because
it's
too hard to check for early DKA.
Hope you get your results back soon.
Loretta Eisenberg
that number down, that is way too high and unhealthy. didnt the doctor
suggest that. have you seen an endocrinologist.
I dont believe that this doctor is on top of your condition.
loretta
--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
ray
Emily
(well sorta, not as high as a normal carb load for a normal person I
guess) when I was preparing for the OGTT. Now, I'm not spilling
ketones, which confuses me. I don't know. I'm not sure how badly I'm
eating or not. I'm not paying a whole lot of attention anymore, I'm just
frustrated, and I'm not noticing a huge difference in what I eat or not.
sigh. I was down to 257 this morning. Not too bad. I didn't test all
day (forgot my lancet, remembered the meter, DOH!). I tested when I got
home, up to 392. The doc called me back today, c-peptide was within
normal range. So, that doesn't tell us much at all. I was making a
'normal' amount of insulin at the time the blood was drawn, is all.
(didn't say if it high or low normal, just normal). So, I'm not making
huge amounts of insulin, the way someone who is very IR would be, nor am
I making so little that it is obvious I've lost beta cells. Sigh. She
still doesn't have the GAD results (It's been a week) and she wants to
wait for those before doing anything. I didn't tell her I'd gone over
500, but maybe I will. She won't be happy with that, but what can I do
really, other than eat next to nothing? or only protein? or only fat?
YUCK!! (when I was first told I may be diabetic, my mom said she didn't
put jam on her toast in honor of me, since it was a sweet. I told her it
was not so much about sweets and jam, but about the carbs, so the toast
was just as bad if not worse. So, then she said, oh, so you can have all
the butter you want on your toast just not the toast? I said, Um,
something like that. Sigh.)
So, I still don't know what is going on. I'm a little frustrated that
I'm going so high lately, because I don't want any permanent damage, and
I think my feet are starting to tingle, but it could just be anxiety
too. I'm sure this is messing up my CBC a bit, so I'll fail that
tomorrow and have to have a biopsy. OUCH!! I felt so lucky to have
caught this early, but now I'm frustrated that it is getting WAY out of
control so soon. I know my A1C will be way up there next time--haven't
been below 200 since Sunday. It was 5.3 at the highest reading ever, so
it was never bad before. Of course, I learned I was spiking high some
days, and going low others. Now instead of having days around
'normal'-100ish, and days up in the 200's, I'm having days around 200ish
and days much higher. How high will my BG keep going before I get this
figured out? I thought T2 didn't come on so suddenly per se. I dunno.
Plus, I'm a weird T2 if I am one, since I score 0 on all the risk tests
for it. No family history, low weight, no VAT, low cholesterol
(abnormally so--too low to measure), generally very active, etc. Sigh.
I suppose the GAD test will reveal more stuff. I'm not sure why I was
spilling so many ketones earlier (not watching carbs at all) and why now
I'm not. Weird. My BG's are definitely on the rise, but not with
ketones, so not a sign of T1. It is very puzzling to me. Perhaps it is
all stress right now, and my liver is dumping a lot and such. In that
case, I may start going hypo once I'm not stressed, sine my liver will
have used up a lot of it's glucose stores... Maybe. Dunno. It seems odd
that my doc would allow me to stay at damaging BG levels for a week or
more while waiting on test results. Can't we just lower them now, and
then revise treatment once we know all the facts? Insulin does lower BG
in T2's also right? Of course, I'm also scared to death of insulin, so
there you have it. But, I'd like to have stable vision, normal feeling
legs, and um, no cancer too. No biopsy if I can help it, but I'm not
holding out much hope for that at the moment. Does hyperglycemia raise
the WBC? I know the hematologist thinks maybe it can, but that she
wants to see my bone marrow if I'm still high on Wednesday, just because
she wants to rule out bad things right away, or get them treated right
away if they do exist. Sigh. My body seems to enjoy attacking itself in
one way or another. I finally stopped literally beating myself up (self
injury), and then my body just kinda took over from there. Sigh.
Emily
Emily
think now at the clinic. The only clinic around. My thyroid doc is one
of the best ones there, but I can't get in to see him for three months,
and the only reason he has appointments three months out is that he
won't schedule appointments further out than that... sigh. I will be
switching to another doc there ASAP, but can't do it until after I have
my follow up in April with this one. sigh.), she has my c-peptide
results in, but not the GAD results. Wants all of them before deciding
on a course of action. Sigh. I didn't tell her how high I'd gone, but
she knows I'm going high, and doesn't seem too worried. I'm supposed to
call and talk to a CDE anytime I'm over 200, but they can't do diddly
squat for me until I'm on meds or insulin. Then they can help me adjust
my doses and eating to get better. Otherwise, they can just say, yah
that's high, you should be on something. DUH!! I was down to 257 this
morning, so it came down on it's own. But I'm still not pleased. I may
call and talk to a CDE tomorrow, and tell her how high I've gone, and
ask what I should do about it, since the doc doesn't want to start
anything until after all test results are in. The c-peptide was in the
normal range. She didn't say if it was high or low normal, or even
center normal, she just said it was normal. That doesn't mean a whole
lot. It does mean I am still producing insulin, but I'm not making TONS
of insulin, the way a really IR person would. So, am I IR with a
shutting down pancreas? Do I sometimes make insulin and sometimes not?
Who knows. I know the GAD will tell us more, but I wish she'd just
realize controlling the HIGH BG's for now would be a GOOD thing, rather
than waiting on tests. We can always change the treatment regimen once
results are in, but I know insulin works for T2's as well, and we could
start that until we know for sure what will or won't work for me. I
dunno. I'm also scared to death of insulin and hypos and such, so that
may not be helpful.
Emily
Emily
> Sound to me like time to find a new doc.
>
one who takes my insurance? I'm not sure, but they are the only one
affiliated with the hospital I go to, and of course they are totally
booked up because they get all the diabetes referrals... There is
another doc who claims to be an endo (my co-worker switched to him
briefly, then went back to the original clinic in town) but he has no
endo training, just practices only endo, and is a bit of a quack. She
switched to him, cause she didn't like being chewed out (for lack of
better wording, can't think right now) for not always following diet
etc. (she's a T1 btw) by some of the docs at the other clinic.
However, once she realized this guy was a bit of a quack, she went back
to the experts. She actually recommended this guy to me because he could
probably get me in earlier, but she also told me he was a quack. Hmm...
Anyways, I am seeing the low person on the totem pole here. She's the
newest person, and only an NP not a MD. There are some GREAT PA's there
who do a good job with you, once you've mostly gotten things under
control, and my friend sees one of those and recommends her, but her
wait period is like two months. My thyroid doc is one of the better docs
there, and he is really good. I plan to switch back to him for the
diabetes too, but the problem is, his appointments are always three
months out. The only reason he has appointments that soon, is he won't
make them for any longer than three months out!! I have a follow up
with this NP in April (but she's getting test results and adjusting meds
in the meantime. My thyroid doc does that too. I'll have labwork only
visits, and then he'll adjust med doses based on the results. I did get
to see him three weeks after I FIRST saw him, cause I was in such bad
shape (thyrotoxicosis essentially) when I first saw him. He squeezed me
in for that. OF course, it was about three months from when my doc found
out I had a thyroid problem that he first saw me. He said he only looks
at test results of new patients right before seeing them (a few days or
hours or something), UNLESS the referring doc says "LOOK AT THESE
RESULTS NOW!! THIS PERSON CAN'T WAIT!" If my doc had done that, he'd
have squeezed me in MUCH earlier. I managed to avoid the hospital, but
according to him, just barely. Of course, the way most things work, is
one nurse calls another (or maybe just an admin who does referrals all
day and not a nurse, dunno) and says "so and so needs to see a
specialist, when can we get her in?" and no one really thinks of how
emergent or not it is etc. I did however manage to get in with the
hematologist/oncologist within one week of my sky high white cells. My
doc did write URGENT, Look at these numbers etc. on that referral. So,
who knows. I do plan to make my third follow up appointment with my
thyroid doc. I want one doc handling BOTH my thyroid AND my diabetes,
and I want it to be the GOOD doc, not the low person on the totem pole.
This is a very nice person, but she really doesn't seem to have a good
grasp of what these HIGH BG's are doing to me. sigh. If my WBC is very
high, and the bone marrow biopsy shows nothing, and it turns out all to
resolve itself once my BG is under control, then I'll be annoyed. Of
course, I'll also be happy that I don't have cancer... sigh.
Emily
rk
yes, higher glucose will cause many swayed blood test results. It can also
mess with your thyroid tests, RBC, WBC, lipids. Your doctor isn't letting
you
"sit" at a "damaging" glucose. I don't know where you've gotten your info,
but it does take years and years (5-7) at best before damage really sets in.
And yes, T2 can come on as you're seeing it. It's possible, that you just
caught it at the right time and what you're seeing is what other T2's see
before they finally got to the doctor. Often even new dx'd T1's will have
a A1C the first time well over the 10% mark. You've also not stated what
your fasting has been running, which also tells much. Many T2's have a
normal C-Peptide. I'm sure thats why she's waiting for the GAD probably
to determine if you might be a LADA in the end. If the GAD is positive and
with a normal CPep, then that would be my guess of LADA. If GAD is neg,
then a T2. A below normal Cpep would be a T1 adult onset.
as I said, I'm sure you are frustrated, but I think you're stressing a bit
much.
just relax and shop for a better doctor.
RK, t1
Emily
>
>
> yes, higher glucose will cause many swayed blood test results. It can also
> mess with your thyroid tests, RBC, WBC, lipids. Your doctor isn't letting
> you
> "sit" at a "damaging" glucose. I don't know where you've gotten your info,
> but it does take years and years (5-7) at best before damage really sets in.
> And yes, T2 can come on as you're seeing it. It's possible, that you just
> caught it at the right time and what you're seeing is what other T2's see
> before they finally got to the doctor. Often even new dx'd T1's will have
> a A1C the first time well over the 10% mark. You've also not stated what
> your fasting has been running, which also tells much. Many T2's have a
> normal C-Peptide. I'm sure thats why she's waiting for the GAD probably
> to determine if you might be a LADA in the end. If the GAD is positive and
> with a normal CPep, then that would be my guess of LADA. If GAD is neg,
> then a T2. A below normal Cpep would be a T1 adult onset.
>
> as I said, I'm sure you are frustrated, but I think you're stressing a bit
> much.
>
> just relax and shop for a better doctor.
>
> RK, t1
>
>
Thanks. I'm switching back to my thyroid doc at the clinic ASAP, but
that won't happen until June or July at this rate. However, I do want
him managing all my endo conditions. Easier to have it done by one
person, and the one I think is more competent will get my business. I
know any time one goes over 200, then one is doing damage to the body,
but I know it takes a while for damage to become severe etc. I dunno.
I just hate feeling like this all the time, I know if my BG were not so
out of whack, I'd feel a ton better, so that is definitely part of my
frustration. My fasting BG is trending up as well. It was usually
except for the few weird very near normal days around 150-just under
200. Now it is nearly always over 200, and as high as 280 or so. I'm
also often HIGHER pre-meal than I was two hours post meal... and we are
talking maybe about 4-5hrs total between meals.... so that is about
2-3hrs after the 2hr testing. (no snacks, just LOTS of water...). I'm
so confused. I was under 200 once at two hours (I think, or close or
something) and then pre meal, a couple hours later, I was 295! Now, I'm
more likely to be 395 or more. Sigh. Oh well. I know it will all get
worked out at some point, and I know I'm not going to DIE in the
meantime, but well, it's not a lot of fun. At least my medical
insurance (because of the diabetes AND graves disease) will cover my
dilated eye exam next week, and then I can save my VISION insurance
(which wouldn't cover the dilation I don't think anyways) to use for a
new prescription once my BG's settle down. I know I don't want a new
sript now (despite the fact I can't see half the time) cause my vision
changes nearly hourly. Once my BG is stable, then I can find out how
well (or not) my eyes work. The most frustrating thing is, I am
moderately nearsighted most of the time, and I also have a moderate
astigmatism. The changing BG does tend to change me from near to far to
near sighted a lot, but it doesn't seem to affect the astigmatism, so
taking on and off the glasses does not help much. I suppose I could wear
dorky readers OVER my glasses, but I'm not sure if that would help much
either. I could test it at a drugstore though... interesting
experiment. What strength lens do I need at what BG? I've got so many
different BG's this way, I'm sure I could get enough test points to
develop a formula even. I could see if it were linear, hyperbolic,
quadratic etc.... (Can you tell I was a math major?). Yeah, that's
making lemon-aide out of lemons (of course, the sugar in that would send
my BG soaring, but oh well. I like Ice water with a squeeze of lemon,
and that seems to suit me just fine). Speaking of water, I'm going back
to my plan of drinking a ton, peeing a ton, and getting some sleep. If I
didn't post that one here, I just posted it elsewhere, so there ya go.
Emily
dumbfi...@yahoo.com
Well, I've got a question myself, and it is an honest one:
If it is true that it takes years and years before damage sets in,
then why are the majority of people urging Emily to go to a hospital?
Emily
away it's not a good one. Some people think I'm T1 heading into DKA. I
don't think I am, since I've had no ketones in my urine. Also, I'm not
exactly dying here. If I were, I would not have made it through a full
ten hour (nine of work one of lunch) day, and gotten all the major
cleaning stuff done that I did. Admittedly, my BG was far lower by
morning (nearly half) but I'm sure it crept back up during work. (didn't
test there, had the meter, not the lancet...or lance or whatever) was
392 upon arriving home, haven't been under 300 all evening. But,
although not a good range to be in, it's hardly a dangerous one for a
day or two. Often, on sick days, staying in the three hundreds is the
best on can do. (that's not my case here, but it gives me comfort that a
day or two of 300 won't kill me...). Now, if my meter were to just read
HI, and I did a control test, rewashed my hands and did another HI test,
then yes, I'd go to the E.R. If my BG did not test under 500 several
times in a row (obviously hours apart) then I'd also probably do
something about it. But, from someone who has been as close to death as
possible without actually dying at least twice in my life, I don't
always feel the need to rush to the E.R. when I am CLEARLY not dying,
and not in MAJOR pain. Not to mention it's expensive. I do plan to talk
to a CDE tomorrow, and get their opinion on it, find out what they
advise, etc. Plus, with any luck, the GAD test will be in and I can get
some answers/meds/etc. I'd rather start on meds on a day off of work,
in case I have a bad reaction. Of course, I'll likely be hurting on
Friday at work anyway, since I fully expect a bone marrow biopsy on
Thursday. sigh. At anyrate, I think I know enough to know a major
emergency or not, I did go to the E.R. when reacting badly to glyburide,
as that did cause major pain, and i knew something was really wrong. My
high BG was not so alarming, though not comfortable, because I was not
nasueous or vomiting or spilling ketones or anything, and I know many
people have gone that high before diagnosis or worse. It's not great,
and KNOWING it's that high makes it almost worse, but I've not been over
500 since (or at least not tested it), and while chronic highs are very
bad, as are many spikes, a day or week even of highs I dont' think will
cause permanent damage. However, I do want to get this under control
ASAP, but I know the E.R. won't do that. At best, they'll give me
insulin to bring me to normal, and then tell me to follow up with the
endo, who will of course wait until all the tests are in and then play
with meds etc. The CDE's were more concerned, thinking I should be on
insulin until we know what is up. They were going to talk to my doc, but
of course, she is waiting for all the tests. Obviously if I went into
DKA or hyperosmolar non-ketonic shock, the E.R. would admit me, treat
me, and then go from there, but that is clearly not happening right now.
I am watching for things to get more serious, and if they do I'll seek
help like I said. Otherwise, I'm gonna ask the CDE's advice tomorrow,
and then just wait it out a bit. Not much else I can do. Don't want to
go to the E.R. daily for an insulin shot, that is a little silly. Plus,
they would just call the endo clinic for advice anyways, and then I'd be
back where I started. Funny how things work, isn't it? Perhaps years
down the road, even with great BG control as soon as I can get it, I
will get complications from this weeks high excursions. Perhaps not. My
step-grandfather (T2) is 94, just now starting insulin. He had his
first major complication (partial foot amputation) at 92 or 93.
Although I'd rather never have that, if I can hold off until that age, I
can deal. From the research I've done, I've decided there are still
questions about high BG's and complications. There is no doubt high BG's
(200 or more, maybe less) lead to damage. The question is, how fast
does the damage develop, are sustained high bg's as bad or worse or
better than lots of spikes and drops, how long does one have to be at
high bg's before risk of permanent damage is imminent etc. If I KNEW
one day of 300-500 would automatically make me lose a foot in ten years,
then sure I'd demand immediate treatment. Since I don't know that is the
case, and there isn't likely to be immediate treatment, or if I do get
insulin at the E.R. one day and lower my BG, I'd have to do the SAME
exact routine the next day, until my endo put me on meds.... It just
doesn't make sense to run to the E.R., unless there are signs that it is
developing into something more serious than a high, but not always
immediately dangerously high, BG, and I am watching for those. Thanks
for the concerns all, I do appreciate them, but I'm not dying today, or
tomorrow, or the next, and hopefully by then, I'll at least have some
answers and be on some meds or insulin or something...
Emily
La...@notmy.com
> I'm
>also often HIGHER pre-meal than I was two hours post meal... and we are
>talking maybe about 4-5hrs total between meals.... so that is about
>2-3hrs after the 2hr testing. (no snacks, just LOTS of water...). I'm
>so confused. I was under 200 once at two hours (I think, or close or
>something) and then pre meal, a couple hours later, I was 295! Now, I'm
>more likely to be 395 or more.
I'm certainly no expert at any of this, but I wonder if you're going
too long between meals and might want to give the idea of "grazing" a
go. Basically grazing is what Ozgirl does by having several small
meals thoughout the day to keep her levels even. It's possible (like
I said I'm no expert) that your 2 hour numbers are representing a down
ward curve that bottoms out and your liver goes into overdrive to
prevent a hypo and jacks your numbers up. So by eating a small bit
several times a day, with small amounts of carbs and a bit of protein
you can at least even out the waves. Sort of like how some folks deal
with their dawn effect by having a snack with carbs and protein/fat
before bed.
Just a thought
Ma¢k
Giggled into the madness of usenet:
>she just said it was normal. That doesn't mean a whole
>lot. It does mean I am still producing insulin, but I'm not making TONS
>of insulin, the way a really IR person would. So, am I IR with a
>shutting down pancreas? Do I sometimes make insulin and sometimes not?
>Who knows. I know the GAD will tell us more, but I wish she'd just
>realize controlling the HIGH BG's for now would be a GOOD thing, rather
>than waiting on tests. We can always change the treatment regimen once
>results are in, but I know insulin works for T2's as well, and we could
>start that until we know for sure what will or won't work for me. I
>dunno. I'm also scared to death of insulin and hypos and such, so that
>may not be helpful.
>
>Emily
What you can do is treat yourself as if you are a diagnosed type 2 on
diet and exercise. Following the advise to the newly diagnosed at
http://www.alt-support-diabetes.org will give you a starting point as
to testing and eating. You've already seen some improvement over what
you have been reporting.
Now you have other medical conditions that will effect diabetes. At
this point what we are seeing may simply be the early development of
IR. Without all the lab work back there is no way to accurately
diagnose type 1 at this point. And I know it's easier said than done,
but all the stressing over it, either way, won't accomplish anything.
So for now, just assume that you have been diagnosed as a type 2 and
act appropriately. Eat like and test like a well controlled type 2.
It can only help not hurt both in the short and long term.
Keep an eye out for ketones though. If you start spilling ketones
above a trace amount call your doctor or go to the ER.
At this point, in your present state, it really is best to wait on the
lab work for a proper diagnosis. If on the chance you do come up as a
type 1 and they actually start you on type 2 med now, those meds will
have been a waste of your time, and the side effects will have been
for nothing.
Because if you are not insulin resistant and you take an anti
resistance medication it won't help your BG, but you will still have
to deal with the side effects.
If you take a medication that force your pancreas to produce more
insulin and you are just starting to lose your beta cells as an adult
type 1, you will quicken their loss.
But controlling your diet and exercise will not hurt you as a type 1
or type 2.
--
MâckŠŽ Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://www.pandora.com enter "Jason & Demarco"
"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt
(o ô)
--ooO-(_)-Ooo--------------------
"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
....Bilbo Baggins
DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.
rk
news:b71fv2lsnk7gnkt4n...@4ax.com...
: On Wed, 14 Mar 2007 04:22:38 GMT, Emily <Nos...@nospam.com> wrote:
:
:
: Well, I've got a question myself, and it is an honest one:
:
: If it is true that it takes years and years before damage sets in,
: then why are the majority of people urging Emily to go to a hospital?
Not trying to be a smart-ass and a honest answer to your question is
that many here are extremely paranoid of any glucose reading over
100mg/dL and think that one will end up with horrible damage.
No one knows for sure how long it takes before damage sets in. Theres
never been studies done on the matter before. But... usually a typical T2
is diagnosed when they go to the doctor because of another issue which
more then likely happens to be a "complication" because they've been
running glucose ranges probably 300+ for several years. The studies do
estimate a T2 isn't diagnosed until after 5-7yrs of running high for their
post-prandal readings while their fasting is normal most times. This is
why it isn't caught earlier most times. For a T1, it usually takes anywhere
from 6mon-1yr for onset. I can honestly pinpoint mine exactly. Both, me
and my daughter were sick with a major flu the last week (over thanksgiving)
in 1999. I never "shook" the flu symptoms. Went to the doctor several
times
from Dec-mid May. DKA set in on May 13th (mothers day) 2000. On May 18th
2000, I went to the ER because of "rapid breathing", fever, nausia and
migraine like
headaches that wouldn't quit. As well as hubby said, my eyes were sunken in
and horrible black circles around them. I'd also lost 47lbs in 7weeks,
while eating
like a utter pig. (2 big macs & xlrg fries) hungry every 2hrs, peeing every
20mins
and literally drinking water, then diet coke, then water and always having
dry mouth.
Some T2's are lucky and are dx'd early on whereas complications haven't set
in yet.
Most T1's don't have complications until close to 20yrs out from being
diagnosed.
It's really a crap-shot at best either way you look at it. But trying to
keep ones glucose
as close to non-diabetic the best we can is the best way to avoid
complications overall.
But, having high glucose for a few days or even a few months isn't going to
cause anyone
to die or end up with horrible complications if it's still early on in their
diagnoses. More
likely then not.
HTH.
RK, t1
going on 7yrs and zero complications.
Ma¢k
<p_haha...@gmail.com> Giggled into the madness of usenet:
><dumbfi...@yahoo.com> wrote in message
>news:b71fv2lsnk7gnkt4n...@4ax.com...
>: On Wed, 14 Mar 2007 04:22:38 GMT, Emily <Nos...@nospam.com> wrote:
>:
>:
>: Well, I've got a question myself, and it is an honest one:
>:
>: If it is true that it takes years and years before damage sets in,
>: then why are the majority of people urging Emily to go to a hospital?
>
>Not trying to be a smart-ass and a honest answer to your question is
>that many here are extremely paranoid of any glucose reading over
>100mg/dL and think that one will end up with horrible damage.
>snip things not actually relevant to this particular question in this particular instance.
If you will remember she was at 500 or higher mg/dL.
http://www.joslin.org/Files/HyperglycemicGuide.pdf
read carefully, joslin does not say you have to be in DKA in order to
need to go to the ER.
with BGs over 400, especially over 500. in someone who does not know
how to bring them down an ER trip is necessary. In someone with other
medical conditions than just diabetes, an ER trip becomes even more
important.
However, were these numbers a result of the OGTT? Then no ER visit is
required. She needs to follow the advice given by her doctor while
awaiting the lab results. Because we have seen that she has written
he numbers have dropped since then.
If her numbers did not drop, and she had not taken the OGTT, and even
in the absence of ketones in the urine, she would need to go to the
ER.
All the talk about fear of numbers over 100 has nothing to do with
this case, because this person is yet to be properly diagnosed as a
type 1 or type 2.
--
Mâck©® Deltec CoZmore Pumper
dumbfi...@yahoo.com
Well, you learn something every day.
I was just remember stories of Patti Labelle fainting
on the stage because of bg's in the 500 range. That's
how she foudn out she had it.
dumbfi...@yahoo.com
Wow that certainly is a thorough answer. Thanks
Emily.
rk
news:htufv2pgrvsprre78...@4ax.com...
: On Wed, 14 Mar 2007 08:30:58 -0400, Ma¢k
True, and Patti Labelle, probably had been running 500+ for many months
prior, which could cause one to faint. But Emily hasn't been running 500+
for month (ie: her low A1C a few months ago)
rk
"Ma¢k" <stopt...@shootspammers.com> wrote in message
news:8rpfv2t2fe1qi4kcf...@4ax.com...
: [Default] On Wed, 14 Mar 2007 07:30:37 -0400, "rk"
I agree, I was simply answering his question as to why all the others
stressed to her to run to the ER.