Scott, sorry for these problems. A couple of questions: What is your blood sugar when you're feeling disoriented and dizzy? It's important to know that because if you really are experiencing a low, then you do need to have something ready to bring the blood sugar up. Glucose tabs or gel, candy, orange juice - depending on how low you are. What meds are you on? Are they for diabetes? What are you eating? For breakfast, lunch, dinner? You've said you are a terrible patient. Well, it doesn't matter if you have insurance or not, meds or not, whatever..... you have to eat correctly and take the meds correctly. When you have the readings of 120 to 150, you say you are best behaved. What do you mean? Eating right? Taking meds? Let's see what's going on and if we can offer some suggestions but we need more specific info. Ok?
Ok, listen up, Scott. I'm presuming you're an adult and responsible for your behavior, so no more misbehavin', ok? First of all, you have to eat correctly and consistantly in order for your blood sugar and your meds to know what to expect. What you also need to understand is that bread, potatoes, corn, anything made with flour and sugar will keep your blood sugar elevated. So, #1: search through our past threads about food/recipes/meals for ideas of what to eat. (And you might find some suggestions here that are contrary to advice from the county dieticians. The bottom line is: the more carbs you eat the higher the blood sugar.) #2: take your meds regularly as prescribed. You're making your body react like a yo-yo and that's not good for your internal organs, including your brain. #3: Take your blood sugar when you're feeling disoriented or instruct your family and friends to do that if you can't. Being in the 70's might not be dangerous but might make you shakey. Lower will have more effects. That is, IF you are actually going low because since you're not testing your blood sugar, you don't really know that. #4: the disorientation and nausea might not be from low blood sugar. It might be any number of things: low or high blood pressure, inner ear problems (as you said), stress and nerves, other conditions (I'm not a doctor.) Malaria can make you feel that way, too! (I had malaria, so I do know that.)
The point is to find out if it's really low blood sugar. Now, you said you feel tremors in the 60 to 80 range. 80 is normal for a person without diabetes. Readings of 120 to 150 might be after you've eaten dinner that had carbs. You should be below 110 most times of the day and below 100 fasting when you wake up in the morning. If you're feeling awful when you're under 110 it's because your body isn't used to normal blood sugar readings. That will change when you get yourself back on track, eating regularly and taking your meds correctly. Sometimes when a body has had really high blood sugar for awhile, it thinks it's "normal" and when meds or diet brings the blood sugar to a normal range, the body isn't used to that and might feel shakey or sweaty. That will pass as it gets used to normal blood sugar.
Please let us know how it goes, ok?
I hate Boats!!!!
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/15 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1000 mg. at night..Glipizide 5mg. 2X in the morning
(Thanks for the intro Jeannie :)
First off, stop eating the bread, dairy and candy!
That's about as slap-aroundy as I get so relax
It sounds to me that between your meds and sugar slips, your BG is on a BIG roller coaster. This might explain the disorientation you feel when your BG is in the normal range -- the highs are too high and the lows are too low. I know what you mean when you talk about the disorientation and vertigo. I experience both of these occasionally and I suspect they are blood pressure related. Best both of us check with a medical professional to be sure.
First, let's get you off the roller coaster
1) Eat nothing white 'cept cauliflower & cottage cheese. (and eggs and some nuts ... we're gonna have to finalise this some day ;) This is an easy way to remember what are carbs (bad) and what are not. Bread, potatoes, cereals & pasta are the Bad Boys of the Carb Gang.
2) No sugar ... not even brown sugar or pink candies. (You were thinking about the nothing white deal right? Also, watch the fruit & corn and ... you have to read labels and books and forums to get a complete list. Sugar-free sodas, juices and artificial sweeteners can be used to calm your sweet tooth. (we can worry about chemicals and additives later, once your health is more stable)
3) Eat less of everything but more often. Personally, I have to eat less in the morning and more towards the end of the day so I reduce the portion sizes of regular meals and snack in between. Nuts, celery & cheese work for me.
Its really just a matter of changing your focus on what is important in life. I think we've all, probably due to TV and other media, become obsessed with food. I mean, if you were a car, would you watch The Gasoline Network all day? Its just fuel.
If you do slip, exercise. I've gotten to the point where when I know I've eaten too much or the wrong thing, I go for a walk -- even just to the end of the street & back. It works.
Do as Lanie suggested and keep a log book of what you eat, meds & BG readings. You don't have to do this forever -- just as long as it takes to get a handle on your personal condition. Try it for a week. You'll see results.