A question for the diabetics... (Full Version)

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ShaharThorne -> A question for the diabetics... (10/14/2015 11:26:07 AM)

I am having a fasting bloodwork done next Wednesday at Mom's request (more like demand but I digress). Lately I have been feeling feverish, sweating and clammy while switching to chills at times. I have been having night sweats too. I have had 2 bad infections (the cellulitis in August and a gum infection now) that seems like is taking forever to heal. I would eat and about an hour later be hungry again. My eyesight is getting bad (I plan to see an eye doctor next month for glasses) and I seem to be losing weight (depending on which scales I use). I drink about a gallon of water a day and am usually running to the bathroom to urinate.

I just want to know if there are anyone who is diabetic here who can explain the signs of diabetes to me. I Google it, go to WebMD and ADA sites and everything is pointing in that direction. My dad and 2 of his sisters (my aunts) have it and it does run on my mom's side of the family as well. I don't want to have to take shots (Dad was able to take insulin pills) and I am trying to modify my diet to a healthier lifestyle (Mom just does not like baby green salads like I do).

I also want to know how you deal with it.

Thanks in advance...




angelikaJ -> RE: A question for the diabetics... (10/14/2015 5:59:22 PM)

In addition to a fasting blood sugar test you should have them do an A1c test. It will give a picture of your average blood sugars for the past 3 months.

usually they will try you on oral medications first, but really the shots aren't too big a deal. They needles are very small and there are preloaded pen-like devices now.




littleclip -> RE: A question for the diabetics... (10/14/2015 8:46:03 PM)

the 3 polys are a guide
poly phagia lots of eating
poly dipsia lots of thirst want to drink fluids a lot
poly uria lots of peeing
these are for high blood sugar and the most common




haidara -> RE: A question for the diabetics... (10/15/2015 1:18:17 AM)

doctor here. first off let me say, its great that you're curious about your health! its so sad when people take medications and they dont understand their disease pathophysiology. you have the classic signs of diabetes. There's type 1 and type 2, which are different in cause and approach. Thats a whole other discussion.

let me answer these questions directly for you:

1) The body's "gasoline" is sugar. we doctors call sugar "glucose" but for all intensive purposes you can think of glucose as sugar you put in your coffee. basically the same stuff as far as you need to know. You need it to run your body. But you are a diabetic. your problem is your blood has plenty of sugar, but your cells cant bring it in. so it just floats around in your blood causing all kinds of problems. sugar is toxic to your vessels when it floats around like that not being used.

2) clammy and chills: can be your body's poor regulation of glucose levels, either high blood sugar or low blood sugar. Depends on what kind of diabetic you are and whether you have been prescribed insulin or not yet. It's complicated, but I'll give one possible scenario: the basic mechanism is the release of epinephrine in your body to try to get more sugar into your cells. this is because your cells are starved for sugar. if a normal person doesnt eat for a long time, they would get the same symptoms. as a diabetic, even though you just had a big dinner, and your blood has tons of sugar in it, your cells don't sense that, so they think you're starving. your sympathetic nervous system (releases epinephrine in an effort to get more sugar/glucose into your cells) goes into overdrive and you start to feel clammy and get chills, which are actually the signs of LOW blood sugar. quite the paradox right?

3) whew. okay. you mentioned you had recurrent infections. classic diabetes. why? because high blood sugar decreases your body's ability to fight off bugs like bacteria and fungi. your white blood cells (soldiers in your body patrolling in your vessels) dont work as well when there is a ton of sugar in your blood. you can get overwhelming infections (sepsis) and die if you dont treat diabetes.

4) poor eyesight. this is due to something called diabetic retinopathy. basically, the tiny vessels in your eyes get damaged by sugar. why? because sugar sticks to your blood vessels and damages them.

5) drinking and peeing a lot. okay this is due to kidney dysfunction and the principles of osmosis. ever did the science experiment where you put a a special "semi-permeable" balloon filled with tap water and put it in salt water? and the balloon shrinks? no? well take my word for it. thats exactly what will happen. your kidneys filter all your blood and make pee. normal people can extract all the sugar out of your pee and put it back in your blood. but for a diabetic, the sugar damages the kidney filter and with the high concentration of sugar, it leaks out into the urine. what happens next? water from your body gets sucked out into your pee due to osmosis. basically your body is the baloon and it is shrinking and shriveling because the sugar pulls all your water out into pee. so you pee a ton. and you get thirsty. so you drink a ton to make up for it. its a very bad and wasteful process that makes your body very tired, wasting energy.

6) weight loss. this one is interesting. there is another source of energy besides sugar. they are called ketone bodies from fats. your heart and other tissues can use them in stressful emergencies (starvation). so your body begins to break down fats instead of using sugar like it normally is supposed to. so you lose weight when you really shouldnt be.

here my advice. get the bloodwork done. see a doctor. figure out whether you have type 1 or type 2 diabetes. you may very well need to take insulin shots if you are type 1. You may also need it with type 2 depending on how bad it is, but there are medications and diet and exercise can help in this case. type 2 tends to be more hereditary. type 1 has some genetic risk factors but tends to be more sporadic.

okay my hands are tired. good night!




ShaharThorne -> RE: A question for the diabetics... (10/15/2015 4:46:18 AM)

Thanks Haidara...its nice to have a doctor around here. I do have a D.O. and Mom believes I have been living in a prediabetic stage for years and its catching up with me now. Of course having the disease on both sides of the family does not help. I am not into the kink lifestyle these days so I don't have to worry about overextending myself during play.

I did have the tendency to ride my bike in order to lose weight but I actually forgot how to ride it and kept falling over...of course having huge breasts messed up my center of gravity. Mom got the exercise machine back from my brother and I gave the bike to his wife so she can keep working out. My father and I are kinda the same way...he sat on his butt all the time, the only time he was active was when he went to the river daily checking the lines for catfish and rebaiting them (he died on that river back in '07). I am a computer nerd, always sitting at the computer, playing games and/or crocheting. I can't even walk around Walmart without my back going into spasms (or stand for 10 to 15 minutes at a time).

I do need to add that I am bipolar and have fibromyalgia as well. I just saw a rheumy for the first time in 11 years to make sure the markers for RA (dad had this as well) have not increased. I take 1000mg of Depokate ER daily, 160mg of Geodon nightly and other drugs for gout, the shakes from Geodon, vitamins, supplements, HBP, high cholesterol, hypothyroidism, IBS and edema. I am just a fine kettle of fish as Mom says. I am also taking Clindamycin 150mg 3 times daily for the gum infection and Tylenol #3 for the gum pain (it really hurts to eat so I am on a soft diet).

Now I have to go over the kitchen with a fine toothed comb and clear out what I cannot eat (and I just brought a box of brownie mix too...[:o]).




angelikaJ -> RE: A question for the diabetics... (10/15/2015 6:29:56 AM)

Geodon may cause Type II Diabetes in some people.
This is well known and your prescriber should have been monitoring you for it.

Ask them for an A1c test.
It will tell you much more definitively whether or not you are a diabetic.




ShaharThorne -> RE: A question for the diabetics... (10/15/2015 10:16:50 AM)

I will Angel!! I did look up the side effects of Geodon and it can cause diabetes as you said. After the test, I will contact MHMR about either weaning me off or what other steps to take because it does help with the mixed episodes.




ShaharThorne -> RE: A question for the diabetics... (10/25/2015 10:19:35 PM)

The lab results came back yesterday. Glucose level was 129 after a 16 hour fast so now I have to schedule the glucose test and A1c. Meanwhile I have been losing more weight and I have stopped eating most sweets...got fat free puddings to eat now before I can buy sugar free ones.




ShaharThorne -> RE: A question for the diabetics... (10/27/2015 10:46:24 AM)

The doctor just ordered more bloodwork so after the GYN visit I can pop over to the lab and have it drawn. Thank goodness its all in the same building.




OsideGirl -> RE: A question for the diabetics... (10/27/2015 10:49:06 AM)


quote:

ORIGINAL: ShaharThorne
got fat free puddings to eat now before I can buy sugar free ones.


As a general rule, the lower the fat, the higher the carb count. Carbs are what raises your blood sugar. Low fat milk, yogurt, etc are your enemies.




DesFIP -> RE: A question for the diabetics... (10/27/2015 8:01:39 PM)

And artificial sweeteners are viewed by the body as similar to sugar. You really ought to wean yourself off of them also.




LadyConstanze -> RE: A question for the diabetics... (10/28/2015 6:07:44 AM)

In addition, ask to get a full thyroid panel, could be that your thyroid is making the condition worse




ShaharThorne -> RE: A question for the diabetics... (10/28/2015 12:39:18 PM)

The thyroid is okay. I have had 3 panels done since the 13th and my TSH levels are in the proper range. About to call the doctor about the A1c results because I will be busy for the next 2 days with an ultrasound and my niece's school program. Got to work on some afghans now...




LadyConstanze -> RE: A question for the diabetics... (10/28/2015 12:46:21 PM)

TSH levels mean fuck all, I had my thyroid sorted and you wouldn't believe the difference it has made, I had so many auto-immune issues, my TSH was always fine but I produced reverse T3 instead of T3 and things just went to hell, once the thyroid was sorted antibodies and all that dropped like magic, the doc who sorted me told me that thyroid and metabolism is so closely connected and an out of whack thyroid can lead to diabetic issues and that they now track most metabolic disorders back to the thyroid.

Honestly thought I had found the fountain of youth and energy, pure fluke, I was a compatible bone marrow donor but my antibody count was too high, since they needed my marrow they looked at everything and within 5 months they could "harvest"




ShaharThorne -> RE: A question for the diabetics... (10/28/2015 2:38:58 PM)

T4, free..1.32 on the range of 0.93 - 1.70. TSH 2.72 on the range of 0.27 - 4.27 as of the 21st of this month. My levels are fine and I have hypothyroidism which is why I take 15 mcg of medicine daily. My levels are fine. Its the glucose levels that are worrying the doctor because diabetes runs on both sides of my family.




ShaharThorne -> RE: A question for the diabetics... (10/29/2015 11:32:54 PM)

A1c came back as normal so I am dealing with prediabetes. back to bed now so I can attend my nieces' award ceremony later.




OvrThRainbow -> RE: A question for the diabetics... (10/29/2015 11:53:43 PM)


quote:

ORIGINAL: haidara

doctor here. first off let me say, its great that you're curious about your health! its so sad when people take medications and they dont understand their disease pathophysiology. you have the classic signs of diabetes. There's type 1 and type 2, which are different in cause and approach. Thats a whole other discussion.

let me answer these questions directly for you:

1) The body's "gasoline" is sugar. we doctors call sugar "glucose" but for all intensive purposes you can think of glucose as sugar you put in your coffee. basically the same stuff as far as you need to know. You need it to run your body. But you are a diabetic. your problem is your blood has plenty of sugar, but your cells cant bring it in. so it just floats around in your blood causing all kinds of problems. sugar is toxic to your vessels when it floats around like that not being used.

2) clammy and chills: can be your body's poor regulation of glucose levels, either high blood sugar or low blood sugar. Depends on what kind of diabetic you are and whether you have been prescribed insulin or not yet. It's complicated, but I'll give one possible scenario: the basic mechanism is the release of epinephrine in your body to try to get more sugar into your cells. this is because your cells are starved for sugar. if a normal person doesnt eat for a long time, they would get the same symptoms. as a diabetic, even though you just had a big dinner, and your blood has tons of sugar in it, your cells don't sense that, so they think you're starving. your sympathetic nervous system (releases epinephrine in an effort to get more sugar/glucose into your cells) goes into overdrive and you start to feel clammy and get chills, which are actually the signs of LOW blood sugar. quite the paradox right?

3) whew. okay. you mentioned you had recurrent infections. classic diabetes. why? because high blood sugar decreases your body's ability to fight off bugs like bacteria and fungi. your white blood cells (soldiers in your body patrolling in your vessels) dont work as well when there is a ton of sugar in your blood. you can get overwhelming infections (sepsis) and die if you dont treat diabetes.

4) poor eyesight. this is due to something called diabetic retinopathy. basically, the tiny vessels in your eyes get damaged by sugar. why? because sugar sticks to your blood vessels and damages them.

5) drinking and peeing a lot. okay this is due to kidney dysfunction and the principles of osmosis. ever did the science experiment where you put a a special "semi-permeable" balloon filled with tap water and put it in salt water? and the balloon shrinks? no? well take my word for it. thats exactly what will happen. your kidneys filter all your blood and make pee. normal people can extract all the sugar out of your pee and put it back in your blood. but for a diabetic, the sugar damages the kidney filter and with the high concentration of sugar, it leaks out into the urine. what happens next? water from your body gets sucked out into your pee due to osmosis. basically your body is the baloon and it is shrinking and shriveling because the sugar pulls all your water out into pee. so you pee a ton. and you get thirsty. so you drink a ton to make up for it. its a very bad and wasteful process that makes your body very tired, wasting energy.

6) weight loss. this one is interesting. there is another source of energy besides sugar. they are called ketone bodies from fats. your heart and other tissues can use them in stressful emergencies (starvation). so your body begins to break down fats instead of using sugar like it normally is supposed to. so you lose weight when you really shouldnt be.

here my advice. get the bloodwork done. see a doctor. figure out whether you have type 1 or type 2 diabetes. you may very well need to take insulin shots if you are type 1. You may also need it with type 2 depending on how bad it is, but there are medications and diet and exercise can help in this case. type 2 tends to be more hereditary. type 1 has some genetic risk factors but tends to be more sporadic.

okay my hands are tired. good night!


You're a highly educated person and you don't know that the phrase is "for all intents and purposes"??

Carry on.




thishereboi -> RE: A question for the diabetics... (10/30/2015 2:46:36 AM)


quote:

ORIGINAL: OvrThRainbow


quote:

ORIGINAL: haidara

doctor here. first off let me say, its great that you're curious about your health! its so sad when people take medications and they dont understand their disease pathophysiology. you have the classic signs of diabetes. There's type 1 and type 2, which are different in cause and approach. Thats a whole other discussion.

let me answer these questions directly for you:

1) The body's "gasoline" is sugar. we doctors call sugar "glucose" but for all intensive purposes you can think of glucose as sugar you put in your coffee. basically the same stuff as far as you need to know. You need it to run your body. But you are a diabetic. your problem is your blood has plenty of sugar, but your cells cant bring it in. so it just floats around in your blood causing all kinds of problems. sugar is toxic to your vessels when it floats around like that not being used.

2) clammy and chills: can be your body's poor regulation of glucose levels, either high blood sugar or low blood sugar. Depends on what kind of diabetic you are and whether you have been prescribed insulin or not yet. It's complicated, but I'll give one possible scenario: the basic mechanism is the release of epinephrine in your body to try to get more sugar into your cells. this is because your cells are starved for sugar. if a normal person doesnt eat for a long time, they would get the same symptoms. as a diabetic, even though you just had a big dinner, and your blood has tons of sugar in it, your cells don't sense that, so they think you're starving. your sympathetic nervous system (releases epinephrine in an effort to get more sugar/glucose into your cells) goes into overdrive and you start to feel clammy and get chills, which are actually the signs of LOW blood sugar. quite the paradox right?

3) whew. okay. you mentioned you had recurrent infections. classic diabetes. why? because high blood sugar decreases your body's ability to fight off bugs like bacteria and fungi. your white blood cells (soldiers in your body patrolling in your vessels) dont work as well when there is a ton of sugar in your blood. you can get overwhelming infections (sepsis) and die if you dont treat diabetes.

4) poor eyesight. this is due to something called diabetic retinopathy. basically, the tiny vessels in your eyes get damaged by sugar. why? because sugar sticks to your blood vessels and damages them.

5) drinking and peeing a lot. okay this is due to kidney dysfunction and the principles of osmosis. ever did the science experiment where you put a a special "semi-permeable" balloon filled with tap water and put it in salt water? and the balloon shrinks? no? well take my word for it. thats exactly what will happen. your kidneys filter all your blood and make pee. normal people can extract all the sugar out of your pee and put it back in your blood. but for a diabetic, the sugar damages the kidney filter and with the high concentration of sugar, it leaks out into the urine. what happens next? water from your body gets sucked out into your pee due to osmosis. basically your body is the baloon and it is shrinking and shriveling because the sugar pulls all your water out into pee. so you pee a ton. and you get thirsty. so you drink a ton to make up for it. its a very bad and wasteful process that makes your body very tired, wasting energy.

6) weight loss. this one is interesting. there is another source of energy besides sugar. they are called ketone bodies from fats. your heart and other tissues can use them in stressful emergencies (starvation). so your body begins to break down fats instead of using sugar like it normally is supposed to. so you lose weight when you really shouldnt be.

here my advice. get the bloodwork done. see a doctor. figure out whether you have type 1 or type 2 diabetes. you may very well need to take insulin shots if you are type 1. You may also need it with type 2 depending on how bad it is, but there are medications and diet and exercise can help in this case. type 2 tends to be more hereditary. type 1 has some genetic risk factors but tends to be more sporadic.

okay my hands are tired. good night!


You're a highly educated person and you don't know that the phrase is "for all intents and purposes"??

Carry on.


Actually since they are doling out medical advice I would be more concerned that they seem to feel there is a real chance this is dm1 as opposed to dm2.




DesFIP -> RE: A question for the diabetics... (10/30/2015 6:13:23 PM)


quote:

ORIGINAL: OvrThRainbow


You're a highly educated person and you don't know that the phrase is "for all intents and purposes"??

Carry on.


These days I put that all down to auto correct.




dcnovice -> RE: A question for the diabetics... (10/30/2015 6:20:02 PM)

quote:

You're a highly educated person and you don't know that the phrase is "for all intents and purposes"??

Carry on.

_____________________________

quote:

"Kindness in words creates confidence. Kindness in thinking creates profoundness. Kindness in giving creates love."
~Lao Tzu


Interesting juxtaposition.




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