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Narcolepsy, cataplexy, now diabetes!

Anthony_H

Member
Messages
24
Type of diabetes
Type 1
Hi to all,

My name isAnthony, I'm 48 and was diagnosed with "likely" type 1 12 days ago.

As the title suggests, I am also narcoleptic and cataplectic (eventually diagnosed in 2008).
Most people have heard of narcolepsy but very few have heard of, or understand, cataplexy. Not nice.

My diabetes diagnosis was a surprise tbh.
I'd gone to see my GP about a constant dry mouth I'd been experiencing for a number of weeks, even though I'd been drinking an increasing amount of water.....upwards of 6 litres of fluids a day, He prescribed a mouth spray and then asked how I was in general. I told him I'd lost a couple of stone, down from 14 to 12 in a matter of weeks and although I hadn't intended to lose weight, I'd put it down to be considerably more active doing some remedial building work at home (stone walls).
He asked if I was feeling tired during the daytime. Of course, I'm narcoleptic! It didn't feel any different to me though so I hadn't considered if my sleepiness and sleeps had altered. Was I urinating more often? Of course, I was drinking 6 litres a day....who wouldn't?
He suggested that some blood tests should be done just to make sure I wasn't diabetic as, although I wasn't aware of it, I had a number of symptoms associated with the. condition.

Tests were done and a telephone call received a few days later telling me the GP wished to discuss the results with me and so an appointment was made. Two days later, I was confirmed as being diabetic and a hospital appointment made for the following day via the AMU department at Ninewells hospital in Dundee. AMU? Never heard of it? My GP explained this is where emergency patients go when they are able to walk as opposed to those on stretchers! What!! "Are you saying I'm now an emergency patient?'
Wow, this diabetes thing must be pretty serious then .....was my thought of the day!

So following more tests and questions in the AMU department, where it honestly felt I was jumping the queue, I was transferred through to the Strathmore diabetic centre within the main hospital building. There, I was introduced to Doctor Craig and specialist nurse Paul, and told I would be injecting insulin with immediate effect and although it would be a month or so before I would know which type of diabetes I have, initial assumptions suggest I am type 1.

So after 6 hours, two sleeps (only) and a whole head full of new information, my wife and I finally got home at 7pm....via McDonalds before anyone told me I couldn't ...LOL. That was a long Friday. This was followed by a visit back to see Paul and an instruction to Jill, the dietician on the Monday, another visit on Thursday where Jill introduced me to my new 'hobby'.....carb counting!....and nurse Lesley sat with a horrified look on her face as I chatted about my cataplexy attacks....and my next this Friday with both again.

I'm taking Novorapid and lantis on slowly increasing fixed daily dosages and testing my glucose at least 5 times daily and ketones 1-2 times (which thankfully haven't shown a result above 0.2 so far). I have a novopen 5 with the digital read out showing my last dose. This was in case I was having a narcolepsy attack during injecting, specifically when dialling in the insulin dosage. It doesn't stop me under or over dosing but hopefully would allow enough time to rectify things if that did occur. It appears it's that or a pump,which at this stage is frankly feeling just a bit too much to take.... time will tell though I guess.

My vision has significantly deteriorated during the past week or so though. I wear specs and have done since childhood but during the past week I'm struggling to read small (normal letter size) text and when taking off my glasses last night and looking at me wife, I could barely make out her eyes and mouth. I'm long sighted and she was maybe two metres away so normally that wouldn't have been any kind of problem. Obviously related and will be discussed on Friday with Lesley, or before by telephone.

So, early days but doing OK. The staff at both the local surgery and at the hospital have been outstanding. The NHS can't be faulted in these kind of circumstances, or if I'm being cynical perhaps I've just been very lucky with those who have looked after me during this new episode in my life? I hope it's the former.

If anyone else also has the same conditions I have, I'd love to hear from you and how your experiences have allowed you to cope (or not) with the unusual medical combination.

Thanks for reading and I look forward to any feedback you may wish to post.

Anthony H
 
Hello and welcome to the forum. Your story is amazing. I am not T1 but wanted to welcome you to the forum even though I was only diagnosed T2 recently so can't advise you except to say that the next few weeks and months will be a learning curve for you. Carb counting will become easier as time passes and I wish you all the best.
 
Hello and welcome to the forum @Anthony_H :)

That was quite a story to read, the big positive is that you are now receiving insulin therapy and your team are working with you to help you manage. Your eyesight will improve so don't panic too much, the fact you've had excess glucose sitting in your system and are now taking insulin to manage your glucose means that your body will take some time to get used to the insulin and indeed simply 'getting back to normal' although it's a slightly different normal from before, however the eyesight will get better, however if you're still having sight issues after a couple of weeks then it's best to check in with your GP. Most newly diagnosed experience the same. There's no real need to test ketones, only do so if you start going above 17 mmol/l, so that's one less thing to get your head round. It will become second nature in time, like anything new there is alot to take in. A good read for understanding more is 'Think like a pancreas' written by a type 1 and very useful for increasing your knowledge. You can get 'Carbs and Cals' either as an app or book - very handy guide to counting carbs.

You also have support from us all here too so feel free to ask any questions :)
 
You are very welcome to this forum - and I am glad the NHS are treating you with the speed you deserve.

I am sure we will 'meet' around the forum in the future :)
 
Welcome to the best place on the internet for diabetics! It's helped me hugely since my diagnosis in May :happy:
 
My vision has significantly deteriorated during the past week or so though. I wear specs and have done since childhood but during the past week I'm struggling to read small (normal letter size) text and when taking off my glasses last night and looking at me wife, I could barely make out her eyes and mouth. I'm long sighted and she was maybe two metres away so normally that wouldn't have been any kind of problem.
Yep, you definitely have a tale to tell.

Regarding your eyesight - when we are first diagnosed with diabetes, our bodies are trying their best to get rid of the excess sugar in our blood. This is why we drink a lot and pee a lot - our kidneys are trying to flush out that sugar. For some people, the diagnoses may come via a dentist who notices extra decay from the sugar trying to get out through saliva. Another route the sugar takes is through our tears (mine tasted surprisingly sweet when I was diagnosed). Sugary tears have a different density to salty tears and, as a result, a different focal length which often results in temporary blurred vision. As you start getting your blood sugars under control, your sugary tears die down and all is back to normal. This is the usual explanation for blurred vision when first diagnosed and why an optician would be reluctant to give you a new prescription for your glasses.

Hopefully, you will be able see your wife in all her beauty soon.
 
Last edited by a moderator:
Yep, you definitely have a tale to tell.

Regarding your eyesight - when we are first diagnosed with diabetes, our bodies are trying their best to get rid of the excess sugar in our blood. This is why we drink a lot and pee a lot - our kidneys are trying to flush out that sugar. For some people, the diagnoses may come via a dentist who notices extra decay from the sugar trying to get out through saliva. Another route the sugar takes is through our tears (mine tasted surprisingly sweet when I was diagnosed). Sugary tears have a different density to salty tears and, as a result, a different focal length which often results in temporary blurred vision. As you start getting your blood sugars under control, your sugary tears die down and all is back to normal. This is the usual explanation for blurred vision when first diagnosed and why an optician would be reluctant to give you a new prescription for your glasses.

Hopefully, you will be able see your wife in all her beauty soon.
 
Thank you very much for your welcomes and for answering some of my concerns, specifically the blurred vision explanation.
Makes absolute sense.

Something I hadn't mentioned in my post was what my blood test result figures were when the GP decided a visit to the hospital was required. Quite funny in a 'uh oh' kinda way and particularly given I felt relatively fine at the time......

So my GP starts by suggesting he takes a glucose thumb prick test there and then just to makes sure that it's consistent with the results showing on his computer screen, so he gets this neat little electronic machine out and some black gadget which he uses to prick my finger with, surprisingly subtle too considering it's drawn blood ( little did I know at the time that this will become a part of life very quickly) and after 17.1 shows up, he says "yep, definitely diabetic". At this point I thought it best to ask a few questions, and boy did he give me some answers!!

"So if the reading is 17.1, what would be a normal non diabetic reading?"
"Between 3 - 5"
"Uh, pretty high then....."
He then progresses to explain what an HBA1C is and that a normal figure is around 40, give or take a wee bit.
"....and my result was?"
"147"
"Oh"...,.,my confidence in a misdiagnosis was draining rapidly by now. This was followed by a 15 minute break outside as he telephoned the hospital for further direction. The rest, ad they say...........

Since testing myself, I've had a high glucose reading of HI with the highest digit reading being 29.6 and a low of 12.... today!
I know what the target range is but it's been explained that although that figure could be hit today, I'd feel pretty awful so a gradual re introduction to insulin is the chosen way.

Sorry, done it again......but I've always enjoyed writing or am I just trying to toughen up my finger ends?
 
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