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Why do diabetics get tired easily
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<blockquote data-quote="kitedoc" data-source="post: 1884670" data-attributes="member: 468714"><p>Hi [USER=490949]@Danielle Rafter[/USER], You have arrived with lots of great questions.</p><p>And do you know the question GPs dread most when they are rushed and behind time? "Doctor, I'm tired".</p><p>There are so many possible answers, some very straight-forward, others quite complicated. </p><p>Just googling causes of tiredness and reading them all is tiring !!</p><p> I recall the <em>amount of vigilance</em> I had when I was first wearing an insulin pump. Would the tubing get tangled? Would i pull the needle out in my sleep? - My sleep and over-alertness took about 6 months to settle. The times I wore CGM devices, the sleep troubles returned because of course the CGM device cannot be too close to the needle insert device of the pump.I had two places to worry about. I would hope that overtime you would adapt to the wearing of two devices.</p><p>Of course, diabetes is also alertness required about about thinking ahead, planning for the worse, hoping for the best. I have to remember to take a kit each time a go out. Spare reservoirs/needle inserts/batteries or battery chargers/syringes/needles//spare Novorapid and Levemir and jelly beans - in case the pump fails, battery runs out or I forget to change the reservoir etc.</p><p>Add to that needing to watch for hypos, dealing with the anticipated stress of a meeting etc etc.</p><p>Other things:<em> highs and lows in blood sugar cause tiredness</em> - one's loses glucose (= energy) that spills out into the kidney's collecting system when BSLs are high and the adrenaline release which can occur during a hypo puts us into a state of alertness and usage of energy that again we can feel tired.</p><p><em>Lack of exercise</em> was the answer my GP gave to me one day when I asked why so many people say there are tired. </p><p>Exercise, provided it is not too intensive or prolonged and thus harmful, actually makes us feel more energetic later, helps to improve our insulin sensitivity and some say they sleep better afterwards.</p><p>Whilst coffee in the morning usually makes me feel less sleepy, if I drink more than 3 cuppas, or have coffee have 4 pm I stay awake all night - and suffer the next day.</p><p>Some of us including me suffer with Obstructive Sleep Apnoea (OSA - where my breathing stops intermittently during sleep. </p><p>In order to restart breathing my body had to use 'emergency measures' in the form of a burst of adrenaline to wake me to the point where I restarted breathing. Imagine this happening a 100 + times at night ? Very exhausting. </p><p>A sleep study proved that was what was happening to me. </p><p>Some sufferers, untreated or undiagnosed, have been known to fall off to sleep in the morning at work or whilst driving to work !! Various treatments are available. depending on the severity of one's OSA</p><p>OSA is fairly common in T2D, less common in T1Ds like me.</p><p>TIDs are also more prone to thyroid disease, adrenal disease and coeliac disease - all of which have tiredness as a possible symptom. I could go on but my hand is becoming tired ........... ......</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1884670, member: 468714"] Hi [USER=490949]@Danielle Rafter[/USER], You have arrived with lots of great questions. And do you know the question GPs dread most when they are rushed and behind time? "Doctor, I'm tired". There are so many possible answers, some very straight-forward, others quite complicated. Just googling causes of tiredness and reading them all is tiring !! I recall the [I]amount of vigilance[/I] I had when I was first wearing an insulin pump. Would the tubing get tangled? Would i pull the needle out in my sleep? - My sleep and over-alertness took about 6 months to settle. The times I wore CGM devices, the sleep troubles returned because of course the CGM device cannot be too close to the needle insert device of the pump.I had two places to worry about. I would hope that overtime you would adapt to the wearing of two devices. Of course, diabetes is also alertness required about about thinking ahead, planning for the worse, hoping for the best. I have to remember to take a kit each time a go out. Spare reservoirs/needle inserts/batteries or battery chargers/syringes/needles//spare Novorapid and Levemir and jelly beans - in case the pump fails, battery runs out or I forget to change the reservoir etc. Add to that needing to watch for hypos, dealing with the anticipated stress of a meeting etc etc. Other things:[I] highs and lows in blood sugar cause tiredness[/I] - one's loses glucose (= energy) that spills out into the kidney's collecting system when BSLs are high and the adrenaline release which can occur during a hypo puts us into a state of alertness and usage of energy that again we can feel tired. [I]Lack of exercise[/I] was the answer my GP gave to me one day when I asked why so many people say there are tired. Exercise, provided it is not too intensive or prolonged and thus harmful, actually makes us feel more energetic later, helps to improve our insulin sensitivity and some say they sleep better afterwards. Whilst coffee in the morning usually makes me feel less sleepy, if I drink more than 3 cuppas, or have coffee have 4 pm I stay awake all night - and suffer the next day. Some of us including me suffer with Obstructive Sleep Apnoea (OSA - where my breathing stops intermittently during sleep. In order to restart breathing my body had to use 'emergency measures' in the form of a burst of adrenaline to wake me to the point where I restarted breathing. Imagine this happening a 100 + times at night ? Very exhausting. A sleep study proved that was what was happening to me. Some sufferers, untreated or undiagnosed, have been known to fall off to sleep in the morning at work or whilst driving to work !! Various treatments are available. depending on the severity of one's OSA OSA is fairly common in T2D, less common in T1Ds like me. TIDs are also more prone to thyroid disease, adrenal disease and coeliac disease - all of which have tiredness as a possible symptom. I could go on but my hand is becoming tired ........... ...... [/QUOTE]
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