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could really do with some direction on this one pls

T

timewarp

Active Member
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38
Hi

A brief recap - newly diagnosed about 6 weeks back, fasting blood 8.9 and 9.1 and a GTT of 12.3

Firstly put on Met but cannot tolerate it so am briefly off whilst the Dr/Nurse establish what is best


A big issue though is the number of lows I get between 2.9 and 3.9 without meds. It appears to be this Reactive Hypoglycaemia. The Nurse had not heard of it, she did some research and it appears to fit well...

So what the heck do I do? She is speaking to Dr for a Specialist Referral but I am at a loss. Would any meds help? With my lifestyle I would find it impossible to eat 6 small meals a day (single parent with 4 children) I work full time plus other stuff as you can imagine...

Nurse said Met and Sulpho's wont cut it because of the danger of lower 'lows'

I have also found some research that suggests that my Warfarin usage DOES lower blood sugar levels...interestingly Metformin dramatically reduced my INR level of coagulation the medics said it would not interfere but it had a huge effect

Any ideas? :(
 
The Nurse is right. Any medication could seriously lower the figures you quoted. The best person you need a referral to is an Endocrinologist. Sooner rather than later. They have the expertise to be able to look at all your complcations and find a suitable treatment regime.

Anything else would be just guesswork ?

Ken.
 
Hi there
I am on full time warfarin i take 8mg nightly, I have not found any difference with the warfarin and low's! I have been suffering lot's of lows with the heat! The diabeties nurse i see say's this is because of the heat! When our body's get too hot then blood sugar drops!
I am only saying this as i know where you are coming from! I have managed to eat three meals a day i could not eat more than that! I could not handle any more meals than that!
i don't think with low numbers like that any meds would be the answer you need to see a specialist and fast as they are your best options!
I have found that the sun has lowered my blood sugar's beyond belief! I am very low as soon as i walk around in the heat!
If i was you i would keep pushing the doctors about the specialist! I hope that you can get this sorted out soon!
Sandy
 
Hi Timewarp and Sandy,

You do need to be a bit careful if taking warfarin and metformin because warfarin is known to increase the effect of warfarin. In some cases this might be ok, but perhaps not in others. Here's where I got the info from:

http://www.medic8.com/healthguide/artic ... ormin.html
 
Hi Dennis
At the minute i am not on metaformin! i see the diabeties nurse next week, i will bring this up with her! As I get most side effects with any pills! Luckly me!
I hope that timewarp is feeling better!
I have printed out the page that you have put up Dennis i will show my nurse next thursday when i am there!
Sandy
 
Hi

Thanks for the replies and advice so far

My INR levels on Met reduced signifcantly (I have to self check INR also) I self manage my Warfarin and only need to 'check in' now and again to calibrate my machine


Like you, they are worried about lowering BG using Met but we are trying for a month the Met S/R along with (where I can) changes to eating habits etc this will be difficult...at least I recognise hypo's when they come. My guess is that they are ideopathic hypo's but I am going to keep a diary..

I know I am very well looked after by the team at the GP's but using info from here and my own research it means all angles are covered... 8)
 
cugila said:
The Nurse is right. Any medication could seriously lower the figures you quoted. The best person you need a referral to is an Endocrinologist. Sooner rather than later. They have the expertise to be able to look at all your complcations and find a suitable treatment regime.

Anything else would be just guesswork ?

Ken.
Click to expand...

I'd tend to agree.

Keeping the carb load at any one meal down so you don't spike, and eating smaller quantities more often, are about the only things you can do. It's possible that Alpha Lipoic Acid may have a similar effect to the met BUT cross check with your doctors before making any such changes in view of potential interractions
 
Hi Timewarp,

If it is reactive hypoglycaemia then that is characterised by an overproduction of insulin in response to meals loaded with carbohydrates. One of several recommended treatments for reactive hypoglycaemia is to limit the amount of carbs in your meals so that a proportionally lower insulin response is triggered. Even if there is still an overproduction, it would be a much smaller one and less likely to result in hypo levels. So if you want to try an experiment then a significant reduction in the carbs in your meals might be worth a try. You've nothing to lose and it might just be the solution. The recommendation is no more than 130g or carbs per day, spread evenly over your main meals.
 
Thanks for all the advice, I will give it a try with the carbs...

BTW - in line with Nurse's advice I tested late on tonight and was 4.1, she also asked me to do random Ketones tests and this was moderate-high (quite a dark colour on the test strip) at the same time as the 4.1

Does this mean anything?
 
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