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GP Says Im "only" Borderline

T

Tinytoez

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Diabetes!! People who dont understand. Being overweight and hungry.
I called my GP 2 weeks ago to get my results from my latest fasting test, he said that I was borderline from the results but he wanted to put me on medication as soon as possible, he didnt tell me what the results were but I had to go see him 4 days later, when I turned up for that appointment he told me he had changed his mind about putting me on medication yet, as I had reacted so badly to Metformin, and was likely to react again because of my stomach problems due to my IBS.
But he did say I needed a GTT because of the "borderline" result, but I showed him my monitor showing the occasional 12 or 13 and the regular over 6, and he said the readings didnt correspond to the fasting blood results.

Now the nurse told me that she didnt think there was such thing as borderline, you are either Diabetic or you arent.

But this is where I get confused because Im getting symptoms and having "funnies" Im not supposed to be getting theoretically as a T2 without medication, but they always seem to happen at work, last week I felt so bad, and kept going up and down I ended up going home from work because I felt to rough to work, yesterday I was up and down, even though I had half of the omlette I had for dinner the night before and was fine when I ate the first lot, and today I felt really rough again, I tested and was 4.4, had a small 150ml? can of coke and shot up to 8.8 and an hour later straight back down to 4.4 again.
This shouldnt be happening should it??

My GP told me to loose another stone in 6 weeks and then go back to him and it might change my diagnosis, well the weight isnt exactly moving like it did on Metformin, my GTT isnt until 12th June, so Im guessing he wont put me on any meds before that so as not to interfere with the result.

I think I should be popping in to see at least the nurse next week to discuss this, what do you guys think?
 
THe over 12 and 13s certainly suggest full type 2 as opposed to pre-diabetic (used to be called borderline). But our meters aren't accurate and not is the way we test-lots of room for error. Surprised your doc doesn't do a simple HbA1c test which is a simple blood test which shows what your blood sugar levels have been over the last few months and is pretty conclusive normally. I'd pester him for that. You need to know one way or the other so you can start to deal with it sooner rather than later.
 
Ive had a HbA1c organised by the nurse in early March and it was 46.
I thought I was Diabetic, as I walked into his office and he said "so youve turned Diabetic on us" which I thought was pretty conclusive evidence, but now hes changed his mind again. Im thinking a trip to the no nonsense nurse might be more helpful here because one minute hes rushing me on medication, the next hes changing his mind. I think an ashtray on a motorbike will be more useful. Any ideas on the "funnies"? I cant say they are Hypos really can I - yet.
 
The 46 is officially still just pre-diabetic, but only just. If it was me , I'd treat it as diabetic from a diet point of view. As you're not on sugar-lowering drugs, (even metformin doesn't count here) you won't get dangerous hypos regardless. You can get low blood sugar the same as any non diabetic if you work or exercise without adequate food, but you won't get hypos as you can for example on insulin. So your "funnies" are probably just that, although if your body gets used to high blood sugars as a diabetic, it can think that lower (normal) blood sugars are too low and you can get what's known as "false hypos" wouldn't have thought that likely in your case with your HbA1c readings, but of course can't say. Talk to your GP again perhaps?
 
I think I will speak to Mandy the nurse, she seems to make more sense.
Im not doing exercise when I feel funny, Im usually just working on a checkout, although I guess Im up and down out of the chair, but thats not really classed as exercise.
Usually my head starts feeling dizzy, my eyes feel like they either want to fall out of my head or be pushed back into my brain, I usually go really hot and then later go really cold, I come over tired and sometimes loose my concerntration and cant count the change, today I felt like my body was throbbing a bit, I also notice if Im higher I get loud and giggly, and if Im lower my mood goes really grumpy, and Im getting really fed up of it as its not an official Hypo, but I feel really rough when it happens.
 
I seriously am on the borderline 46 is pre-diabetic, 47 is diabetic.
 
Hi Tiny

I'm not a medic but I would agree with Grazer , your symptoms are unlikely to be either hypo or hyper .
You might want to have a chat with your GP and ask if these symptoms could be due to the mix of pills that you are on .
"On Simvastatin, Levothyroxine, Citalapram, Lansoprazole, Colpermin, Micronor. "

In particular the Levothyroxine, some of the side effects sound awfully like yours .
Patients prescribed too high a dose of levothyroxine may experience heart palpitations, abdominal pain, nausea, anxiousness, confusion, agitation, insomnia, weight loss, and increased appetite. Allergic reactions to the drug are characterized by symptoms such as difficulty breathing, shortness of breath, or swelling of the face and tongue
and for Citalapram
list of common Citalopram side effects: Diarrhea Nausea Abdominal pain Vomiting Extreme tiredness Loss of Appetite
Dry mouth Excitement Uncontrollable shaking Nervousness Changes in sex drive or capability Muscle or joint pain Increased sweating Drowsiness

I had a quick browse on the web for that lot , also some of these may not be suitable for diabetics , which may be why the doc wants you to do a GTT , that will give them a much better idea about what is going on.

Good luck with this and try to stay cool, sometimes the hardest part is the not knowing.

Cheers
Hamish from Ipswich
 
Thanks Hamish
I have been on the Levothyroxine for 8 years, the Citalpram for 4 and up to now havent caused any problems, but I think my GP seems to be oblivious, although I mentioned it to the nurse and she seemed to think there wasnt any interactions. Hmm its never simple.
 
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