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Newly diabetic but maybe not? Covid-19 might be the cause?

Jockyy

Newbie
Messages
1
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi all,
I was recently diagnosed as a type 2. My blood was through the roof (being 127 on HbA1c) and I'd been having diabetic symptoms for about 2 months that came on basically all at once. The thrust, urinating a lot (especially at night). blurry vision. Couple of weeks later I started getting a pain in my left kidney and after spending 2 months of putting up with it. I went to the hospital and found out these results. I was in a hyper for 2 months but I didn't know that was the case. I spent a night in hospital on a sliding scale (x2) and was given a massive amount of insulin to go home with (30 units in the morning and 20 of a night including metformin x2 daily).

Interestingly, the night I came home my problems seem to be completely gone. The pain in the kidney was still there but I slept like a baby for the first time in 10 weeks (10 hours). About 2 weeks later my eyes had returned completely back to normal they had gone up by +2 in each eye and I'd only had an eye exam 3 months before. The first couple of weeks My blood was still sitting a little high but it was coming down very quickly. I wasn't eating no where near as much as I used to in terms of calories and completely dropped any form of sugar (which sucked... Massively, as I like my sweets).

I found that eating bread... Of any kind was bad news and would spike my blood 4 points after eating it. If I ate pasta or rice it would go up by 1-2 points. in weeks 3-4 my blood was sitting at around 5 waking up and only going up to 6.5. I'd already dropped my dose of insulin rapidly as I was having to eat half my fridge before going to bed because of risk of having a hypo in my sleep. I'd already had about 5 by this point. So with the help of my diabetic nurse (who is an absolute hero) we was dropping the dose quickly. 4 points every 4-5 days.

She had told me of a few cases of people getting Covid-19, having exactly the same symptoms, all extremely quickly after getting unwell with it. 6 months later they was off all medication and their HbA1c was down to normal ranges Without Medication. Now in fairness I thought she was trying to get me some positive encouragement due the fact she was worried I might be late onset type 1. After getting some blood test back though she said I'm not which was kind of a relief.

Now to the interesting points of this post. I'm now completely off insulin and only taking 2 metformin tablets a day. My blood sits in the ranges of 4.5-5.3 of a morning now and only goes up to 6 after meals. This is 70g of normal white pasta, with normal stir in sauce. This could also include a banana or berries just after the pasta as well. Since it's Christmas me and the wife have got ourselves an advent calendar (Chocolate) and I'm eating that and it's still not going above 6.5.

For the last 2 mornings, I've genuinely forgot to take my tablet (due to being in a rush) also having half a protein bar each morning and although low in sugar (0.7g) it's still 7g of carbs along with the bit of advent chocolate and pasta and my blood has been less than 6 each morning. I've still taken the metformin of a night and my blood always drops to 5.6 even after eating carbs. For example tonight after taking my metformin hours ago, I've had a bag of crisps, a cereal bar (light bars though 4g of carbs per bar) and some ham, along with a few nuts (weird combination I know) and my blood has come down to 5.3 again after 2 hours of eating all that. I know metformin stays in your system for a couple of days but surely it would keep on going up after eating and not coming down? as it was 5.7 after dinner.

I guess the real question mark here is this, If I come off the metformin and my blood remains normal, regardless of what I'm eating, albeit not going nuts of eating sweets all the time like I used to. Does that mean I'm not diabetic if my HbA1c is normal in about 4 months time? Because I know the one in January is going to be high because my blood was higher in November as it was still coming down and down. When I have the test in April and it's down to 5.9 or less than 42mM does that mean that Covid-19 actually gave me, what seemed to be diabetes and I was misdiagnosed? There has been about 7 cases of this happening that my nurse has seen personally over the last 2 years.

I've been diagnosed young, I'm only just 33. Even though I'm a bit of a big lad and I have a gut, I've always been very stocky naturally without a lot of muscle behind the fat tissue. For example if I lost all my weight in fat I'd probably only be about 5-6 stone lighter (19 stone now at 5'7) as when I was 20 I had about 15% body fat and was still around 13 stone. I know that it might be a factor with me being classed as obese but it's genuinely very strange. How all of my symptoms have magically gone overnight just as fast as they came on.

It's all got me a little tad confused. If anyone else has come across this kind of story please let me know as I feel as though the diagnosis may have been wrong and Covid-19 was the culprit here.

Thanks for reading.
 
Hi @Jockyy and welcome to the forums.

I don't know the answer to your interesting story and question but google gave me this


This article here is interesting, though I stress that it is pretty speculative.


Rather than causing a new form of diabetes, the inflammatory stress of COVID-19 may push people with pre-diabetes past the blood sugar threshold for diabetes diagnosis.

Your T2 may or may not be temporary (I guess time will tell), but you might want to keep an eye on future blood sugars even if it is temporary. Maybe have a read of the prediabetes subforum here? (Note I am not a doctor or a prediabetic or a T2 so this is very much a personal opinion and I have no idea whether you actually were prediabetic before covid)


But many women get gestational diabetes when pregnant and don't stay diabetic after the pregnancy (though they are more prone to T2 in later life) so I truly hope that like them you do not stay diabetic.


Good luck and once more welcome.
 
Welcome @Jockyy and thanks for sharing your story
Covid seems to be capable of causing all sorts of problems for people, ranging from a bit of a runny nose all the way through to dead.
So the idea that it could have stressed your pancreas, causing a temporary problem with insulin production, seems entirely reasonable to me.
You've had a difficult time but thankfully have emerged relatively unscathed.
If I were you I would be using it as a wake up call, in your own words you are "a bit of a big lad and have a gut"
Your weight of 13 stones at 20 is a hell of a lot healthier than the 19 stones you are now. The fact that you are 6 stones heavier than you were just 13 years ago suggest that maybe your body has been having trouble with the amount of carbs in your diet even before the Covid struck.
It could be that you have had a glimpse into your possible future, maybe it's time to cut back on things like bread, pasta and those sweets you love so much.
 
None of us can say whether it’s temporary and covid related or if cutting out some of the carbs is what’s brought the levels down. (Even though it’s still many more than I eat for example, the difference from what you were eating might still be significantly better). Covid is also tipping a lot of people of the diagnostic point or revealing previously unknown (non symptomatic even) diabetes as well as these unusual temporary cases

Quite a lot of us have achieved non diabetic levels without medication purely by cutting out/down the carbs we ate. Maybe that’s what you have achieved too. In which case it’s classed as remission not misdiagnosis or cured. We still fundamentally have to keep that control by avoiding the things that send us high again, and if we eat as we did before then we get the same problems we got before. Maybe not for an odd meal here and there but too many odd meals and we’re heading back the same way. Being classed as in remission also means you’ll get regular hba1c, eye and foot checks as a bonus to make sure it all stays on track.

Keeping the lower carb eating going longer term will likely also help you not be such a “big lad“ and particularly help lose it off your belly which is the most damaging place to cause harm. Not doing so might well help send you down the same diabetes road at some time in the future and well as increase various other health risks. All round it’s a good argument for sticking with it and finding alternatives for the past problem food.
 
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