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Some advice please

N

nivenj

Active Member
Messages
33
Type of diabetes
Treatment type
Tablets (oral)
Hello all, just after some advice.
Was diagnosed with pre-diabetes a couple of years ago. HB1AC was around the 6-7 mark. Had some additional health issues and diet/exercise wasnt bringing it down, so doc put me on Metformin about 18months ago. Through one thing and another I didnt go to my checkups, and stopped taking all my medication about 6m ago (yep i know, idiot) but recently moved so at new patient checkup they did some bloodtests and my results came back and my HB1AC was 12. Started taking the Metformin again. This was about a month ago.

For the last 4 days ive had the thirst from hell and am going to the toilet 5-6 times a night. I checked my BG and it was 24.8mmol. have been checking periodically over the last 24 hours and the lowest its been is 14.6mmol Obviously whenever i eat, it spikes back up to around the 20mmol mark. Now starting to get kidney pain, probably as my kidneys are working overtime to get rid of the excess glucose.

Have trace amounts of ketones in urine. I read exercise can help reduce the hyper, but have read elsewhere doing so can actually increase BG levels?

not sure what to do atm. Doctors is shut till monday.
 
Personally I would contact the out-of-hours gp service or pop down to your local hospital.
 
Is there an Emergency Walk In place near you? Or an out of hours surgery? If I were you I would find out and pay them a visit this afternoon, without wasting any more time. Failing that, do not eat anything with carbs in between now and when you can get to the doctor. No carbs means no bread, no spuds, no rice, no pasta, no pastry, no batter, no cereals, no fruit or milk, nothing made from flour or grains. Eat meat, fish, salads, cheese, cream, and drink as much water as you can.
 
Bluetit1802 said:
Is there an Emergency Walk In place near you? Or an out of hours surgery? If I were you I would find out and pay them a visit this afternoon, without wasting any more time. Failing that, do not eat anything with carbs in between now and when you can get to the doctor. No carbs means no bread, no spuds, no rice, no pasta, no pastry, no batter, no cereals, no fruit or milk, nothing made from flour or grains. Eat meat, fish, salads, cheese, cream, and drink as much water as you can.
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nothing local, no. Am drinking around 4litres a day atm due to this awfull thirst. Was worried about fasting in case i have problem with increased ketone?
 
nivenj said:
nothing local, no. Am drinking around 4litres a day atm due to this awfull thirst. Was worried about fasting in case i have problem with increased ketone?
Click to expand...


Given your symptoms, kidney pain and thirst, plus your high bg levels you do really need to be seen by a Dr, do pop along to your nearest hospital and get checked out.
 
I agree. With BG of 25 and no way to control it, go to hospital A&E. It appears you are now one of us. :-/

PS Do NOT exercise in your state, it could be dangerous.
 
And I would say don't eat anything until you have been seen. Just water, maybe fluid replacement drinks like Dioralyte. No carbs but no protein either. In your condition your body will turn protein into carbs and your blood sugar will get worse. Off to A&E before things get worse. It's good you only have trace ketones but your body will be using all available insulin to fight ketoacidosis.
 
thanks everyone. I got admitted, when they checked my BG it was 30.7 :-S. They put me on a drip. When they rechecked by BG it was down to 16.7. However, this was 24 hours without food. I was then allowed a sandwich. The next morning it was down to 12.7. Was discharged today with an increase in my Metformin to 2550g per day ( up from 1000g).

Im surprised they only checked my BG 3 times in 2 days, and none really that show my post meal figures. Also, im sure the amount of IV fluid i was getting would be diluting my blood, so again not confident now im off the IV my BG will stay low and what it will do once ive had a decent meal.

My understanding though is that Metformin is really only useful in reducing BG down by a couple of mmol, so is it really going to be able to cope with highs of 30?

Im no doctor, and maybe just upping the metformin will be enough, however, my gut instinct is, it wont?
 
Ok here is the deal. You are no longer prediabetic, you are diabetic. Check this out with your GP. A&E may have thought you were already diabetic from the very high BG and the fact that you had a meter and talked BG levels to them.

You need to get checked out to see if you are T1 or T2. Personally I have not heard of T2s ever getting levels that high but maybe they do.

There may have been insulin in that IV by the way. That's what I would do if anyone presented with BG of 30.
 
I'm T2 and I've been that high.
Was ill and the reading was 27 which didn't mean much to me at the time.
Wife phoned out of hours doc at the hospital and he said phone an ambulance now.
Before they got to me I took another reading which simply said high.
I'd never seen that before and discovered it meant it had gone beyond the means of my metre to read it.
I'd had two weetabix for breakfast at around seven in the morning and a ham salad around six in the evening.
What happened?
I have no idea.
 
Thanks, going to make appointment to see GP in a day or 2. I did get a bunch of blood work done, but not sure if any of them show insulin levels. How do they decide if someone is Type 1 or 2?

My Blood work came back as,

Hb 159
WCC 8.7
Platelets 224
MCV 84.3
Neutrophils 6.0
Lymphocytes 1.9
Monocytes 0.6
Eosinophils 0.1
Glucose 29.8
Na 131
Urea 5.7
Creatinine 76
Albumin 43
Bilirubin 10
ALP 93
ALT 47
CRP 10
 
nivenj said:
hi Jack, can i ask what your taking to treat your T2?
Click to expand...
Metformin.
Supposed to be taking three a day five hundred mil each but I put my foot down after the high reading and said no ... I'm going to do this with diet.
So against my docs wishes I now only have one met each morning and stick as close as possible to a low carb high fat diet.
Bloods are under control weight is going down feeling good.
 
I might have neuropathic bladder caused by the high readings I was constanly getting before I found this place and the right information.
Seeing urologist Thursday.
 
@nivenj none of that blood work is diabetes specific apart from the random glucose which goes off like a klaxon saying diabetic.

To determine T1 vs T2 you need C Peptide and GAD antibody tests. Get your GP on side and don't let them fob you off by stereotyping from your weight and age without testing (all too common alas).

I am very sorry to say, welcome to the club. :-(
 
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