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Fainting Incident - Help Needed

SweetHeart

Well-Known Member
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511
This morning MH went for a full spectrum blood test. He had to fast for 12 hours prior to his 9.40am appointment.

When he got to the doctors, there was a mix up and they had him booked in for 9.40am tomorrow, not today, even though his appointment card said today. They sent him home and told him to go back at 10.30am. I went with him this time as we were planning to shop afterwards.

When the nurse took the bloods, MH fainted. Quite a long faint, eyeballs hit the back of his skull, skin was paper white. He was sitting in the chair up against a wall and I had to hold him upright whilst the nurse panicked and told me to fetch the doctor. We got the doctor who administered oral glucose (about 60ml) whilst the nurse did his bloods - 5.2mmol so it wasn't a hypo - when MH had come round enough we moved him to the examination couch so that we could raise his feet above his heart. All told this episode lasted about twenty minutes. We were told to go home, have tea & breakfast. By this time MH had been running on empty for 16 hours. Breakfast was three very small thin slices of brown spelt flour bread (heavily seeded) butter and a thin scraping of half sugar jam and a pint of unsweetened tea.

It's now nearly 14.30 and MH still feels ill, and getting worse. His bloods climbed steadily from 5.2 to 10.6 mmol half an hour ago. His pulse is about 60 per minute. He says he feels like he's been steamrollered, his legs are really achy and he's incredibly tired. I ought to add that he's no longer on any Metformin - took his last one yesterday morning.

Why is he still feeling ill?

Ju
 
I dont know the answer, but i think you should get medical attention for him asap.

This may not be anything to do with Diabetes and needs checking out urgently. If your doctors wont come out, ring NHS direct and, if he continues to get worse, ring for help or take him to A & E.

Is he finding breathing too tiring in any way or feeling sleepy? If so, tell the doctors that too.
 
Lucy, I've been trying to get hold of our DSN but no luck. Latest BG is 8.6, so it's coming down. I've made him walk around a bit and he says his legs are better.

I want to call the doctor but he won't have it, says I'm making a fuss - but this was scary stuff. I think we have definitely confirmed that he is T2 after the DSN saying she thought he wasn't last Monday. He's being tested for B12 deficiency and all sorts of other things, so his system isn't working as it should be and I wondered if there was an adverse reaction to the glucose.

Ju
 
Sounds to me he was starving,I fainted a couple of years ago at the vets,they sent me by ambulance to a&e but they checked me over and said it was noting to worry about and can happen,that was before I was type 2
 
He's better now, but still tired - which is possibly mild shock.

Was it technically a hyper? The glucose was far too much for his system. He did say that it felt just like he'd binged and binged on sweets. I don't think he'll ever need a GTT........more likely a G&T.

I was really quite shocked to have a DSN who was panicking and a doctor who asked the nurse what she do.

Ju
 
This is just an explanation to what might have happened..

His liver could have dumped just before he started to faint... Hence the seemly non-hypo!

16 hours is a long fasting period, and the body will be struggling to keep up with keeping the body fuelled, The aches in his muscles could be that the body had already started to use the available fuel store here to keep the body going!

The body will natural use the carbs in the toast and marmalade first due to how easy it can be transferred into energy... Combine this with the after effects of a liver dump... And the fact he's T2 the body can't produce enough insulin and/or use it effectively to balance out the blood Glucose back to normal..

It doesn't take long for bloods to return to normal once treated for an hypo, either by a liver dump or food... But the after effects can take quite a while before you feel totally back to normal... As the body goes through the process of getting all it's used stores restocked while still fuelling the body,

I hope he feels better soon..

And yes if you are worried, give the NHS direct a bell, or pop him down the local A&E to get him checked out
 
Hi Sweetheart,

I can't say what happened however I can confirm that a "Faint" is different to a "Hypo" and the symptoms are different. Having experienced both several times. It does sound like a faint from your discription. One can faint due to a lack of food.

If it happens again it would be wise to get it checked out as there are different reasons for somone to faint. Fainting is when the blood has difficulty reaching the brain hence why putting feet above head is how to help someone recover from a faint.

Either way I hope your hubby is OK now. :)

Lucy. xxx
 
He's feeling better now and ready for dinner!

Heaven help us if he needs a two week course of daily injections for his Vit B12 deficiency. Before the fainting the nurse did say she thought he was definitely deficient of Vit B.

He thinks that it was a combination of the nurse telling him horrible case histories about injections, and the quick glance he got of the blood-filled needle. It was also incredibly stuffy in the treatment room. So a combination of that, hunger and Jopar's brilliant explanation probably covers it.

Now, my carb bible says 100ml of white wine is 3.6 carbs...think I'll work that into my supper carb limit! MH can have some red....to replace the missing corpuscles!

Ju
 
We're a bit confused now; the last reading was taken at 14.46pm and was 8.4. He's just done another reading immediately after strangled eggs, bacon and a tomato and a glass of red wine and it's 4.2.

We thought, given the amount of glucose he swallowed, it would be higher?

Ju
 
Ju hope he's better now. I think what jopar said makes sense. Something similar happened to me a few weeks ago, fainted and then apparently liver dumped then felt **** for hours with aching muscles. Could also be low blood pressure did they measure that? The glucose may not up him that much its why they say if you do a gtt you should eat more than 150g carbs for more than 3 days.
 
Fainting is a completely normal response in humans in response to many things. One of them is bleeding. The body wants to be horizontal so that any spare oxygenated blood can go to the brain without the heart having to work harder against gravity. It's best to let a fainting person drop. Trying to keep them upright may cause you and the fainter more damage.

wiflib
 
I tend to agree with what Jopar is saying. Your body goes into fight/flight response when your sugar drops too low for your needs.... so this causes the liver to dump. I have often woken up myself feeling hypo, but my BGL is fine... but if I test half an hour later my BGL is going up which is a sure sign I had the liver dump (and that's without any food or beverage of course).

If a hypo is severe you can go unconscious... so I guess you could say it would look like someone is fainting. The doc did the right thing by administering glucose just to be on the safe side.

But it could really be anything... whether diabetes or unrelated. It's a good idea to get medical attention and to keep an eye on his sugar levels. It also sounds like he gets quick drops in BGLs from what you're saying about the meal earlier. It's probably a good idea to make sure there is some low GI carbs with the meal. Also I note he had red wine with the meal... alcohol tends to make your BGLs drop low... so never drink alcohol without carbs. :D
 
I can see why it might be best to let a fainting person drop - but not this one. He's 17st, has spinal problems and wears glasses. No way was he being allowed to fall forwards onto his head on a polished concrete floor. That would have been tooooo messy.

This morning he's feeling quite good. We're allowed to OD him on B12 so he's having 1000mg morning and night. The night time ones have a good effect.

Three good things have come out of yesterday's capers; he's not craving sweets and sugary stuff any more - eating those would be too scary and ill-making. And he'll never need a GTT......and, of course, we now definitely know that he is a T2 diabetic.

Ju
 
You do have to wonder why they gave glucose to a T2 diabetic (especially since his BG was normal). I'm not suprised that he feels poorly afterwards. It's probably just the stress of an overlong fast combined with a reaction to the needles. I'm usually fine, but I felt a bit dicky before my blood tests last week.

Faints can be quite spectacular (and frightening as an observer), but at least it happened at the right place. My ex-wife once had a similar reaction to an injection, and collapsed face first into a wall as she tried to stand up (smashing her glasses and getting two black-eyes in the process). The Doctor (who was administering the injection) was completely unconcerned (in a good way), he just let her lie there for what seemed like a minute, before touching her ear to bring her around. She wasn't diabetic, but she felt terrible for the rest of the day.

I hope he feels better soon Ju.

jopar said:
16 hours is a long fasting period, and the body will be struggling to keep up with keeping the body fuelled, The aches in his muscles could be that the body had already started to use the available fuel store here to keep the body going!

Your body never struggles to fuel itself. It has about 3 months worth of fat to burn off before he'd have any issue with keeping his body going.
 
Stephen, you would've thought he was in the right place...but neither nurse nor doctor knew what to do. The nurse was panicking and the doctor asked her what she should do. I was propping MH in his chair and grabbed a magazine or something to fan him with. I also had to ask the nurse to make a cold compress and I had to stop her from continually slapping him and shouting his name. Fainters generally come round when they're ready and it's dangerous to rush it. They didn't even have the facilities to offer him a drink of water when he was feeling better, and it was really stuffy in the treatment room.

I was taught in the Brownies about faints. "Check the airways are clear, if possible put the patient in the recovery position, watch carefully and wait for the patient to come round. Talk to them gently as they maybe disorientated when they come round. If they haven't come round after a few minutes get a first aider, doctor or an ambulance."

I hope they went and studied Fainting 101 when I'd taken him home....

Ju
 
SweetHeart said:
Stephen, you would've thought he was in the right place...but neither nurse nor doctor knew what to do. The nurse was panicking and the doctor asked her what she should do. I was propping MH in his chair and grabbed a magazine or something to fan him with. I also had to ask the nurse to make a cold compress and I had to stop her from continually slapping him and shouting his name. Fainters generally come round when they're ready and it's dangerous to rush it. They didn't even have the facilities to offer him a drink of water when he was feeling better, and it was really stuffy in the treatment room.

That's exactly what happened when my ex-wife fainted - the Doc let her lie there till she was ready and brought her round with a touch of the ear. It was pretty amazing to watch.

I bet it was more to do with the stuffy room and the temperature than anything else.

SweetHeart said:
I hope they went and studied Fainting 101 when I'd taken him home....

+1
 
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