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Non diabetic hypoglycemia. Much worse
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<blockquote data-quote="JoKalsbeek" data-source="post: 2689585" data-attributes="member: 401801"><p>Steroids work on for a very, very long time... They can keep your bloods going nuts for ages after you've stopped using them, so that might account for not being able to make sense of the highs and lows right now. There's a wildcard at work.</p><p></p><p>Once the steroids and their side effects are done with, assuming you will come off them eventually, a low carb diet would even out your spikes and dips. When there are no spikes, the dips don't happen either. A glucose tablet would cause a spike and result in a dip again, so you'd be back in a vicious cycle. The whole goal'd be not to even need tablets anymore, (though I'd keep 'em handy for emergencies of course) no Somogy Effect-esque responses, nothing, just.... A nice equilibrium without hypo's, seizures and whatnot. </p><p></p><p>Weather affects one's insulin-sensitivity, so when it's warm you're more likely to go hypo because you're more insulin-sensitive, and exertion'll burn off more glucose, which could make your liver dump glucose, which then triggers another overshoot of insulin, potentially... So I can imagine why you only feel safe in a controlled environment. For the moment, tackle the cancer, focus on that. When all that's sorted and the steroids and treatments are over, maybe try a keto diet or something, (which could be high in protein, which also would help with the cancer-recovery) to try and get a more even line, preventing hypers and hypo's. But that's just what I'd try... Because I am a stubborn know-it-all and I prefer sorting things on my own. What <strong><em>you</em></strong> could/<strong><em>should</em></strong> do, however, is get your oncologist or GP to refer you back to an endo who treats RH, because the oncology treatments are complicating and exacerbating a condition that is their area.</p><p></p><p>Mind you, I'm a T2, not an RH. <a href="https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.htmlthis" target="_blank">https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.htmlthis</a> might help get your diet sorted, but don't take anything I say as gospel: you have a complicated set of things going on that all affect one another, and I'm just a faceless amateur on a forum. If you can, get more help. Wrangle in the pro's.</p><p></p><p>Hugs,</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2689585, member: 401801"] Steroids work on for a very, very long time... They can keep your bloods going nuts for ages after you've stopped using them, so that might account for not being able to make sense of the highs and lows right now. There's a wildcard at work. Once the steroids and their side effects are done with, assuming you will come off them eventually, a low carb diet would even out your spikes and dips. When there are no spikes, the dips don't happen either. A glucose tablet would cause a spike and result in a dip again, so you'd be back in a vicious cycle. The whole goal'd be not to even need tablets anymore, (though I'd keep 'em handy for emergencies of course) no Somogy Effect-esque responses, nothing, just.... A nice equilibrium without hypo's, seizures and whatnot. Weather affects one's insulin-sensitivity, so when it's warm you're more likely to go hypo because you're more insulin-sensitive, and exertion'll burn off more glucose, which could make your liver dump glucose, which then triggers another overshoot of insulin, potentially... So I can imagine why you only feel safe in a controlled environment. For the moment, tackle the cancer, focus on that. When all that's sorted and the steroids and treatments are over, maybe try a keto diet or something, (which could be high in protein, which also would help with the cancer-recovery) to try and get a more even line, preventing hypers and hypo's. But that's just what I'd try... Because I am a stubborn know-it-all and I prefer sorting things on my own. What [B][I]you[/I][/B] could/[B][I]should[/I][/B] do, however, is get your oncologist or GP to refer you back to an endo who treats RH, because the oncology treatments are complicating and exacerbating a condition that is their area. Mind you, I'm a T2, not an RH. [URL]https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.htmlthis[/URL] might help get your diet sorted, but don't take anything I say as gospel: you have a complicated set of things going on that all affect one another, and I'm just a faceless amateur on a forum. If you can, get more help. Wrangle in the pro's. Hugs, Jo [/QUOTE]
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