Weak Legs and Shortness of Breath

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Sherrine
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Date Joined Apr 2005
Total Posts : 14984
   Posted 7/17/2011 11:19 AM (GMT -6)   
I have been having problems with high blood sugars since the Christmas season.  I have told my doctor several times but, since my A1C came back at 6.1, he isn't listening to me.  He assures me that the test is correct.  But, when you have fasting sugars in the low 200's (one morning it was 360)  you start thinking there WAS an error in the testing.
 
Anyway, yesterday I started getting weak legs and I'm short of breath.  Would hyperglycemia do this?  I did take a little more of my medication today than usual but it doesn't seem to make a difference.  This morning my fasting BS was 170.  I took my dog for a one mile walk and then checked it again before breakfast.  It was now 253 without eating a thing.  I took my meds plus a little bit more and checked the BS again two hours after breakfast and it was now 293.  It's an hour later and it's at 238. 
 
This is starting to frighten me.  I've been a Type II diabetic for 19 years and have always kept my BS in the normal range.  Because of this, I have no side effects of diabetes and I don't want them, either.  I'm not sure what is happening but I can assure you I will be talking to my doctor first thing tomorrow morning.  But meanwhile I have you guys!  yeah Are there any suggestions as to what to do to help with this?  Exercises just made me worse!  I do think the weak legs and shortness of breath are because of hypoglycemia...at least I hope so!  Any help will be appreciated.  Thanks in advance!
 
Sherrine 
Forum Moderator/Fibromyalgia

Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis
************************
God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

Post Edited (Sherrine) : 7/17/2011 1:23:01 PM (GMT-6)


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3329
   Posted 7/17/2011 1:10 PM (GMT -6)   
Sherrine!  Yes, get thee to the doctor.  Something's not right and your blood sugar is too high.  Are you on insulin?  It sounds like your meds need to be re-evaluated.  And your doctor knows all the other meds you're taking, right?  (I know you know that's important.)
 
This is a list of symptoms of hypoglycemia from medicinenet.com:
  • nervousness,
  • sweating,
  • intense hunger,
  • trembling,
  • weakness,
  • palpitations, and
  • often have trouble speaking.
  • And symptoms of hyperglycemia:

  • Increased thirst
  • Headaches
    Difficulty concentrating
    Blurred vision
    Frequent urination
    Fatigue (weak, tired feeling)
  • Weight loss
    Blood glucose more than 180 mg/dL
  • Aside from what the blood sugar levels are, some of these symptoms are the same.


    Lanie

    diabetes moderator
    diabetes type 2 controlled so far by diet and exercise
    very low carb way of eating

    Chaul22
    Regular Member


    Date Joined May 2010
    Total Posts : 166
       Posted 7/17/2011 1:14 PM (GMT -6)   
    Are you sure your meter is correct, and no residue on fingers etc. Did I understood correctly that the fasting sugar level was taken by the lab? Well, then I don't know. As far as I know, if your hba1c was 6.1, that would convert to 120 mg/dl average blood glucose level. If this started happening like only a few days ago, then it would not have affected your hba1c yet.

    I'm curious, because I've also had some problems with feet, shin splints. But then I went cycling and right now, I'm not experiencing it. Maybe it's the warm water.. Not exactly weak feet, but I've had continuous shortness of breath myself, but it's not related to low sugars for me. I've also had insulin resistance that forces me to inject great deal more than diabetic my weight normally would and I'm type 1.

    Hypoglycemia usually strikes me with a sudden cold sweat, really soaking my shirt. General weakness yes. I especially felt the weakness on the long cycling trip and it took me awhile to recover enough strength to cycle back home. But I confirmed it with a low reading just after the trip. You should be able to confirm hypos by taking a measurement. I don't really notice the shortness of breath during the hypo episode as it's quite obvious to me when I'm going low and I'm panicking to get something sweet from anywhere close by.

    After hypoglycemia I'm also feeling weak long after my blood glucose has already been raised back to normal. I can measure in the 250 range but still feel the weakness and hunger in my throat, but at least the sweating stopped.

    Chaul22
    Regular Member


    Date Joined May 2010
    Total Posts : 166
       Posted 7/17/2011 1:17 PM (GMT -6)   
    Oh yeah, trouble speaking, I had that once. I was trying to order some sandwich but was just babbling something incoherent. Apparently I managed to say something reasonable as I left the shop with a one foot long baquette.

    Sherrine
    Forum Moderator


    Date Joined Apr 2005
    Total Posts : 14984
       Posted 7/17/2011 2:34 PM (GMT -6)   
    When I saw my doctor in February, I told him my BS readings were high.  He ordered the A1C because it was due anyway.  It came back 6.1.  I just about fell over.  I took my meter into their office and checked it with their meter.  It worked perfectly.  BTW, Chaul, I said "hypoglycemia" in my original post but I meant "hyperglycemia".  (I have since corrected that error.)  I also have fibromyalgia so I'm lucky if I know my own name!   smilewinkgrin  
     
    I still maintain there was a mistake with the A1c.  My doctor said no and this forum told me the same thing but this has been going on for months and is getting worse.  It could be a human error in the lab, mixed up reports, etc.  It doesn't usually happen but I don't see why it couldn't.
     
    Lanie, I don't take insulin.  I'm on Glyburide...7.50 mg in the AM and 6.25 mg in the PM.  It's worked great for years but I think it's stopped working now.  I did take an additional 1.25 mg this morning and it finally kicked in.  My doctor knows all my meds and all the over-the-counter things I take, too.  That's just as important.  He reads the list as soon as he comes in the room to see what I'm taking so he's very thorough that way.  The problem lies in that he believes the A1c and not my testing!  I might have to smack him upside the head!  devil  
     
    I'm happy to report I just checked my BS and it was 120.  Whew!  I'm still going to talk with my doctor.  Oh, and thank you for the chart!  I'm copying it.  I could have googled it but was so upset this morning that I just came here.  I knew I would get good advice!  Thanks everyone!
     
    P.S.  I just read that if you are having problems with hyperglycemia, you shouldn't exercise because it raises your blood sugar even more!  That's what happened to me today.  Exercises usually helps lower blood sugar but mine was in the 200+ range so I shouldn't have exercised.  Thought I'd share that just in case.  I didn't know that...obviously!
     
    Sherrine 
    Forum Moderator/Fibromyalgia

    Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis
    ************************
    God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

    Post Edited (Sherrine) : 7/17/2011 1:53:25 PM (GMT-6)


    Chaul22
    Regular Member


    Date Joined May 2010
    Total Posts : 166
       Posted 7/17/2011 3:11 PM (GMT -6)   
    Oh, hyperglycemia is an unfamiliar term to me.. It just means high blood glucose to me. Then I'm thirsty and I go to the toilet often, and in long term average, I also lose weight, but I don't feel particularily weak or have blurred vision in that state. I don't link hyperglycemia to weight loss directly, but I can link high hba1c to weight loss. One time high wouldn't make me lose weight, but in long term it certainly would.

    I didn't know about exercise raising blood glucose in some conditions, but I have heard that you shouldn't exercise when your blood glucose is high.

    grandmaroses
    Veteran Member


    Date Joined Jan 2011
    Total Posts : 1355
       Posted 7/21/2011 8:54 AM (GMT -6)   
    Sherrine is a good thing you keep track of things. When my medications stopped working it was so scarey I told my dr and he immediately changed me to insulin but then I went to the diabeties center and they suggested to my Dr to change because he prescribed an very expensive insulin and I could not afford it so after some trial and error my insulin got worked out and now I seldom have highs and lows.
    Take care
    Rose



    Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

    Judy2
    Forum Moderator


    Date Joined Mar 2003
    Total Posts : 9289
       Posted 7/21/2011 9:41 AM (GMT -6)   
    As I understand it, the pitfall of managing with only the A1C is that it shows an average. Your body can sustain cell damage from the highs and lows that an average doesn't reflect. My doc always has me bring in my readings from the previous three months so he can look at the highs and lows as well as the average.
    Ulcerative colitis diagnosed in 2001; symptoms as early as 1992. In remission since 2006 with Remicade.
    Inflammatory osteoarthritis; osteonecrosis from steroids
    Grave's disease successfully treated with radioactive iodine and now on Levothyroxine.
    Type II diabetes induced by steroids.
    Meds: Remicade, Colazal, Levothyroxine, Mobic, Metformin

    Co-moderator thyroid forum

    LanieG
    Forum Moderator


    Date Joined Nov 2006
    Total Posts : 3329
       Posted 7/21/2011 10:13 AM (GMT -6)   
    Exactly.  In fact, a diabetic could be in 'crisis' with a nice and healthy A1c. 
    Lanie

    diabetes moderator
    diabetes type 2 controlled so far by diet and exercise
    very low carb way of eating

    Sherrine
    Forum Moderator


    Date Joined Apr 2005
    Total Posts : 14984
       Posted 7/21/2011 11:42 AM (GMT -6)   
    I take in a month of my numbers when I see him.  I also keep track of the two week average on my meter.
     
    I personally think this is all stress induced.  One of my children is having a horrible time.  It started in January and that's when my BS elevated.  But, when our president suggested that he wouldn't be sending out SS checks, boy, did that do it!  That's what I live on.  That's when the numbers jumped into the 300 range daily.  I didn't put two and two together until last night.  It fits with my readings but I'm amazed that they would go up like this.  So, perhaps there is something else going on, too.  He still has me taking the same amount of Glyburide but added the short-acting insulin before dinner.  We'll see how it goes.
     
    Sherrine
    Forum Moderator/Fibromyalgia

    Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis
    ************************
    God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

    grandmaroses
    Veteran Member


    Date Joined Jan 2011
    Total Posts : 1355
       Posted 7/21/2011 5:11 PM (GMT -6)   
    My dr only uses the A1C the only way he knows if I am having issues is if I tell him and he then asks me so do you want to go back to the diabetes clinic? Sherrine if you have one there you should check it out. The head nurse at mine is so knowledgeable its like talking to a specialist without an attitude. She helped me so much she knew my dr had prescribed the wrong insulin for me and she also knew I needed to be put on rapid as well. My dr had started me on a new medicine and long acting insulin and my levels were stupid high, because she works with diabetics everyday the nurse talked to him and my prescription was changed and my levels all started getting lower and lower until I am between 4 and 6 daily and they want it about 5 so I'm darn close.

    Look after yourself and keep records I kept a diary for 2 years of my readings what I ate and it really helped figure out where I was needing help.
    Take care
    Rose



    Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

    Irish Babe
    Veteran Member


    Date Joined May 2007
    Total Posts : 1330
       Posted 7/22/2011 1:42 PM (GMT -6)   
    Sherrine,
     
    I was just reading what you have been going thru - I am so sorry you have so much upsetting you. I pray things will calm down for you and your family. It doesn't matter how old our children get, they are still our children. What bothers them, bothers us.
     
    I was reading both your posts, so my response will be towards both of them.
     
    Stress not only affects our Fibro, but it can sure play havoc w/ BGL. As you know, I don't have diabetes, but my DH does. And along the same idea as I stated above, what bothers him, bothers me.
     
    He was dx as a T2 28 yrs ago next month - on our anniversary no less. He was put on an oral med, we thought that would be the answer. It wasn't. It worked for several months, but he was so sick, the dr sent him for tests for everything but diabetes. Finally, they decided to test his sugars and urine, his sugar was up around 800+. He went to the ER where an endo said he was a T1. Our pcp said he had been in a Honeymoon period. He has been on insulin for 27+ yrs now.
     
    He was on several different types of insulin thru the yrs, but always w/ the syringe. Almost 2 yrs ago, he had such a bad incident that his endo suggested he go on the pump. She could go over it w/ him, but didn't have the time to sit and give it the time he needed. She set him up for an appointment w/ a Diabetes Educator. She went over everything w/ him and me. We had several appointments and he is setting up a new appt to review somethings w/ her. She was wonderful and took the time the dr wasn't able to spare for the lessons. Our insurance pd for the classes, we only had the co pay.
     
    I think that might be something for you to ask your dr, so you can feel secure in your knowledge of the pens. I know you like to be on top of your life, your health! S/he can answer all your questions and show you how to change, save, etc all your equipment.
     
    I had/ have several T2 diabetics in my family. They all took insulin. My aunt was given pills, but felt the insulin kept her in better control.
     
    Only suggestions, but hope they help. You're a special lady, we want you healthy.  yeah
     
    Hope you are feeling better.
     
    God bless.  Alice.

    Sherrine
    Forum Moderator


    Date Joined Apr 2005
    Total Posts : 14984
       Posted Yesterday 5:54 PM (GMT -6)   
    Rose and Alice, you two are soooo sweet!  Thank you for your concern.  When I was first diagnosed as a diabetic, 19 years ago, I was sent to a nurse who explained about diabetes, how to check  your blood sugars, and how to eat properly to keep good control.  I've done that all these years and it has worked beautifully.  I really think it's the stress I have been dealing with that caused this....especially the last stress that put me into 300's.  That first day of this happening coincides with the news!  So I need to stop watching the news!  LOL
     
    We just never discussed insulin shots at that meeting because I wasn't on them.  So, when my doctor put me on this pen, he had his personal nurse show me how to use it and and explained it to me.  But, since I was given a sample pen, it didn't have all the needles to go with it.  She probably didn't think about that at all.  So, anyway, I'm doing great and this is working.  I only hope it's a temporary situation.  If it isn't, I'll deal with it as I have everything else and be thankful that there is help available!  Thanks again.
     
    Sherrine
    Forum Moderator/Fibromyalgia

    Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis
    ************************
    God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

    Irish Babe
    Veteran Member


    Date Joined May 2007
    Total Posts : 1330
       Posted Yesterday 7:32 PM (GMT -6)   
    Sherrine,
     
    I hear what you're saying about the news. It is about the only thing I do watch on tv and it usually ends up upsetting me. Can't win!
     
    I'm so glad the dr and nurse have you covered, I know you like your dr alot. As long as he takes good care of you, he's alright in my book. 
     
    I hope it is only temporary, but as you said, if not - you will deal w/ it as you always do.
     
    Yrs back when my DH was dx, we were both overwhelmed w/ everything. I started reading up on it w/ books from the library. Going back to all the experiments w/ dogs back in the '20's. The more I thought about it, the more thankful I was for the meds we had available. We could certainly use a cure, but I'm grateful we have meds available. Thank God!
     
    Hope you continue to feel better. Have a good evening.
     
    God bless.  Alice.
     
     

    Sherrine
    Forum Moderator


    Date Joined Apr 2005
    Total Posts : 14984
       Posted Today 10:50 AM (GMT -6)   
    My grandfather died from a raging infecton.  He had diabetes and I'm not sure if medications were available back then.  He accidently pierced his thumb while cleaning fish, it got infected and couldn't be controlled.  He probably didn't go to the doctor and there wasn't Neosporin around either, I don't think.  So the infection went throughout his body.  That's why I've been so careful about diabetes.  You don't want to fool around with it. 
     
    I was in a funk when my doctor prescribed the insulin.  But then I remembered people like Mary Tyler Moore, who have been diabetic and on insulin all of their lives!  Just look at what they have accomplished and have and are having a wonderful life.  So, yes, I'm very thankful for the medications!  yeah
     
    Sherrine
    Forum Moderator/Fibromyalgia

    Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis
    ************************
    God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

    Marburg
    Regular Member


    Date Joined Mar 2006
    Total Posts : 486
       Posted 8/3/2011 11:06 AM (GMT -6)   
    Sherrine,

    You can test your A1C using a home test kit. These kits run about $30 and you get the results in minutes
    Diagnosis: Diabetes, IBS, GERD, Hypertension, Osteoarthritis (right knee (severe), lower back (mild))

    meds: Lantus Solostar, Novolog Flex, Lisinopril, Norvasc, Dexliant, Welchol, Baby Aspirin
    Vitamins: Soy supplement, Vitamin D3, Vitamin B

    Sherrine
    Forum Moderator


    Date Joined Apr 2005
    Total Posts : 14984
       Posted 8/5/2011 11:27 AM (GMT -6)   
    Thanks, Marburg!  I didn't know that was available.  I do have a conversion chart that shows the glucose number and the A1c equivilent.  Lanie put the link to it in the Diabetes Resource thread and this helps me.  My meter will tell me my average for 7, 14, and 30 days.  I like that, too.  I check the chart and this tells me about what my A1c would be.  So that's what I have been doing.
     
    Sherrine
    Forum Moderator/Fibromyalgia

    Fibromyalgia, Crohn's Disease, Ostomy, Autoimmune Inner Ear Disease, Diabetes, Osteoporosis, Glaucoma, Scoliosis
    ************************
    God does not give us a spirit of fear, but of power and of love and of a sound mind. 2 Timothy 1:7

    Marburg
    Regular Member


    Date Joined Mar 2006
    Total Posts : 486
       Posted 8/17/2011 1:34 PM (GMT -6)   
    Another thought, Sherrine, this would apply only if your high readings occurred in the summer.

    Dehydration made my bs go way out of control. I was fighting high bs since December, and went to an endo in May. My numbers were high. And despite changes to meds and diet kept going up until I wound up in the hospital with what they thought were cardiac or kidney problems and turned out to be dehyration (temps in the 90-100+ since May).

    Since then my numbers appear to be steadily decreasing. So make sure you are hydrated.
    Diagnosis: Diabetes, IBS, GERD, Hypertension, Osteoarthritis (right knee (severe), lower back (mild))

    meds: Lantus Solostar, Novolog Flex, Lisinopril, Norvasc, Dexliant, Welchol, Baby Aspirin
    Vitamins: Soy supplement, Vitamin D3, Vitamin B
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