I don't know If anyone here can help me ?

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bhkhhh
Regular Member


Date Joined Jul 2006
Total Posts : 245
   Posted 1/20/2007 6:42 PM (GMT -7)   
I am 38 yr old female who has had trouble with hypoglaucemia off & on for yrs now. For the past yr & half I've been noticing really strange symptoms. In feb became ill & what docs thought was gallbladder had alltests to rule everything else out & had gallbladder surgery in march. My symptoms are Ibs, pain up around left rib & sometimes all throughout stomach, dizzyness, blured vision, rash that comes & goes on breasts, cysts in breasts, during summer my legs & feet turn red & hurt, off & on hair loss, I have not been able to go back to work since Feb. 2mo. ago I had episode & had to call911 I thought I was in the middle of heart attack but they took bs & it was21. I keep having these spells & now I catch it at 45 or 48. Today I went to hospital & was having 5 hr. diabetes test . At first the stuff I drank made me tremble but it soon levelled off. After the 4th blood drawing I became sick & shaking I knew I had dropped so I used my monitor to check it was 48 I went & got nurse & she argued that my monitor was wrong. I was having heart beats like tacardia, sweating, I could not stand there any longer & argue. She informed me I was having panic attack. I went back to lobby fighting the urge to walk out & get me something to eat! about 15 min later the same nurse came running in telling me how sorry she was, they had doc orders to stop the test that my glucose had went down. My daughter ran & got me a candy bar & it went back up. Beleive it or not this was done in a hospital!! I was pretty much on my own! The nurse said that this is hypoglaucemia, that the insullin levels will tell more but it takes 2 wks. for them to come back. Has anyone had this? what is causing this? I this what they call pre diabetes? If anyone knows anything please help. I feel like my life is touch & go.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/20/2007 7:47 PM (GMT -7)   
I would see an endocrinologist pronto. I have very little understanding of hypoglycemia but it would seem that you need a better doctor or at least one who is more attentive. Your hospital is not at the top of my list for competency, either. Good luck with this.
~ Jeannie
Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class!

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


bhkhhh
Regular Member


Date Joined Jul 2006
Total Posts : 245
   Posted 1/21/2007 8:48 AM (GMT -7)   
Jeannie, thanks for the reply. I will be calling doc mon morning & I will be asking him to send me to one. Oh, & one who is in with a good hospital!

4sons
Regular Member


Date Joined Dec 2006
Total Posts : 406
   Posted 1/21/2007 9:30 AM (GMT -7)   
Holy smokes, you poor dear!!! When I was an adolescent I was diagnosed with hypoglycemia. I never had a bs monitor so don't know how low it went but I do know that panicky/shakey/SICK feeling!! I'm so sorry for you and wish you well on your search to find someone who will HELP you!!!!!!!
Cheers -

Ruth/4sons

age 52/Type 2 diabetic/"controlled" by diet and exercise


bhkhhh
Regular Member


Date Joined Jul 2006
Total Posts : 245
   Posted 1/21/2007 9:41 AM (GMT -7)   
Thank you. I almost wish they would find something so mabe they could fix it. This is really driving me nuts. It is almost like it is affecting my brain! It has really set in & it has took over my life. My insullin levels should be back in 2wks so mabe that will tell something. I didn't think diabetes ran in the family but my grandfather & G-grandmother on fathers side had it.

AMM
Regular Member


Date Joined Dec 2006
Total Posts : 234
   Posted 1/21/2007 11:44 AM (GMT -7)   
I may be wrong but this is my understanding. Hypoglycemia is not pre-diabetes although some hypoglycemics develop diabetes later in life. Hypoglycemia means your body produces too much insulin. Was the test you were taking called the glucose tolerance test? Taking in large amounts of sugar causes your body to produce too much insulin which was making your blood sugar drop too low. You then needed more sugar to bring the glucose level back up. I don't really understand how you are supposed to keep your blood sugar stable but I know there must be a way. My cousin has hypoglycemia and has to eat a diet very close to what I do because she does not want to over produce insulin. At least that is my understanding. If I am way off someone please correct me.
What doesn't kill you makes you stronger.  Shouldn't I be invincible by now?


4sons
Regular Member


Date Joined Dec 2006
Total Posts : 406
   Posted 1/21/2007 12:09 PM (GMT -7)   
I was hypoglycemic in adolescence. I have Type 2 diabetes now. My doctor told me one often swings into the other during mid-life. Wish I had known that then!!! Ironically the month I was diagnosed a dear teaching colleague was diagnosed with hypoglycemia. We ate the same way ... small meals throughout the day. Lean protein, veggies and nuts. She ate more whole grains than I did (and do). She's moved now but I just heard from her. When she continues to make wise food choices she feels good. I think the main goal for both of us was/is to keep our blood sugar STABLE. It's the wild swings that do us both in ...
Cheers -

Ruth/4sons

age 52/Type 2 diabetic/"controlled" by diet and exercise


bhkhhh
Regular Member


Date Joined Jul 2006
Total Posts : 245
   Posted 1/21/2007 1:29 PM (GMT -7)   
Yes that was it glucose tolerant test. Thanks to all for the info.

Warren
Veteran Member


Date Joined Oct 2005
Total Posts : 534
   Posted 1/22/2007 1:52 PM (GMT -7)   
Hi bhkhh,
 
I guess most people here don't really understand hypoglycemia, so I hope this helps.

Two types of hypoglycemia can occur in people who do not have diabetes: reactive (postprandial, thats after meals) and fasting (postabsorptive). Reactive hypoglycemia is not usually related to any underlying disease; fasting hypoglycemia often is.

So what are the symptoms??

Both types resemble the symptoms that people with diabetes and hypoglycemia experience: hunger, nervousness, perspiration, shakiness, dizziness, light-headedness, sleepiness, confusion, difficulty speaking, and feeling anxious or weak.  Personally, I get shakey, and cold and I've learned that for me, this is an instant symptom my meds have pushed me into a hypoglycemic state.

If you are diagnosed with hypoglycemia, your doctor will typically try to find the cause by using laboratory tests to measure blood glucose, insulin, and other chemicals that play a part in the body's use of energy (just like in bhkhh's case).

Now lest's look at reactive hypoglycemia; here symptoms appear within 4 hours after you eat a meal. To diagnose reactive hypoglycemia, your doctor may

  • ask you about signs and symptoms

  • test your blood glucose while you are having symptoms (The doctor will take a blood sample from your arm and send it to a laboratory for analysis. A personal blood glucose monitor cannot be used to diagnose reactive hypoglycemia.)

  • check to see whether your symptoms ease after your blood glucose returns to 70 or above (after eating or drinking)

A blood glucose level of less than 70 mg/dL at the time of symptoms and relief after eating will confirm the diagnosis.

The oral glucose tolerance test IS NO LONGER USED TO DIAGNOSE HYPOGLYCEMIA; most doctors now know that the test can actually trigger hypoglycemic symptoms, so SHAME ON YOUR DOCTOR. 

 
The causes of most cases of reactive hypoglycemia are still open to debate. Some researchers suggest that certain people may be more sensitive to the body's normal release of the hormone epinephrine, which causes many of the symptoms of hypoglycemia. Others believe that deficiencies in glucagon secretion might lead to hypoglycemia.

A few causes of reactive hypoglycemia are certain, but they are uncommon. Gastric (stomach) surgery, for instance, can cause hypoglycemia because of the rapid passage of food into the small intestine. Also, rare enzyme deficiencies diagnosed early in life, such as hereditary fructose intolerance, may cause reactive hypoglycemia.

To relieve reactive hypoglycemia, some doctors recommend:

  • eat small meals and snacks about every 3 hours

  • exercise regularly

  • eat a variety of foods, including meat, poultry, fish, or nonmeat sources of protein; starchy foods such as whole-grain bread, rice, and potatoes; fruits; vegetables; and dairy products

  • choose high-fiber foods

  • avoid or limit foods high in sugar, especially on an empty stomach

Now, some health professionals recommend a diet high in protein and low in carbohydrates (sound familiar to all you type 2's), but studies have not proven the effectiveness of this kind of diet for reactive hypoglycemia. I would think on the contrary that while great for those with hyperglycemia, it is NOT helping those with reactive hypoglycemia.

Now lets talk about the other type of hypoglycemia, FASTING HYPOGLYCEMIA.

Fasting hypoglycemia is diagnosed from a blood sample that shows a blood glucose level of less than 50 mg/dL after an overnight fast, between meals, or after exercise. Causes include certain medications, alcohol, critical illnesses, hormonal deficiencies, some kinds of tumors, and certain conditions occurring in infancy and childhood and the list goes on. 

Now, here is the big surprise to most of you. Medications, including some used to treat diabetes, are the most common cause of hypoglycemia. Some other medications that can cause hypoglycemia include

  • salicylates, including aspirin, when taken in large doses

  • sulfa medicines, which are used to treat infections

  • pentamidine, which treats a very serious kind of pneumonia

  • quinine, which is used to treat malaria

Drinking, especially binge drinking, can cause hypoglycemia because your body's breakdown of alcohol interferes with your liver's efforts to raise blood glucose. Hypoglycemia caused by excessive drinking can be very serious and even fatal. 

Some illnesses that affect the liver, heart, or kidneys can cause hypoglycemia. Sepsis (overwhelming infection) and starvation are other causes of hypoglycemia. In these cases, treatment targets the underlying cause.

Hormonal deficiencies may cause hypoglycemia in very young children, but usually not in adults. Shortages of cortisol, growth hormone, glucagon, or epinephrine can lead to fasting hypoglycemia. Insulinomas, insulin-producing tumors, can cause hypoglycemia by raising your insulin levels too high in relation to your blood glucose level. These tumors are very rare and do not normally spread to other parts of the body.

So now that you know a little more about the two types of HYPOGLYCEMIA, you can pinpoint which of the two you have and maybe even begin to zero in on some causative elements.

Under NO CIRCUMSTANCES should you let them give you another oral glucose tolerance test as that could very well send you into a diabetic coma.  Hope this helps.

scool  Warren


bhkhhh
Regular Member


Date Joined Jul 2006
Total Posts : 245
   Posted 1/23/2007 6:37 PM (GMT -7)   
Thanks for the great info. I am real confused though. I called my doc today & he says he believes it is reactive hypo & if my insullin levels come back high then he is suspecting a tumor on pancreas or adrenal gland. He also said most tumors are benign. I am hoping he is right! He said my insullin levels will be back in 7 - 10 days but he will be out of town & he wants to see me feb 6th or 7th. What really upsets me is I have told seven doc's that I thought it had something to do with pancreas or something about the adrenalin because at times it feels like a surge of adrenalin. They all looked at me like I was stupid & told me it was panic attacks or better yet wrote in my chart hypocondrial symptoms!

bhkhhh
Regular Member


Date Joined Jul 2006
Total Posts : 245
   Posted 1/25/2007 7:22 PM (GMT -7)   
I had a really rough night so I went into doc's today. He called & got the results of my insullin levels & the good news is they were normal. He wants me to remain on my diet & keep a chart of blood sugars. He said that if I went off diet I would possibly turn diabetic if I wasn't allready. I have stuck to the diet for 2 days & eating every 3hrs & I've had no problems I am just starving!! He did up me to 2000 calories but I'm still hungry. I am still not real clear on this diet though. Am I allowed things with a little sugar in them?
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