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Sudden drop in blood sugar. What is going on?
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<blockquote data-quote="Roger5544" data-source="post: 1683030" data-attributes="member: 375672"><p>My blood sugar levels have undergone quite a dramatic drop in recent months and I was wondering if anyone can help explain this. First some background history - apologies if this is drawn out.</p><p></p><p>I was diagnosed with T2 diabetes in July 2014. This was a complete shock as I was not overweight, have never been overweight, exercise regularly and to my knowledge there is no history of diabetes in my family. My diet was reasonably balanced but I was eating quite a lot of fruit. I was prescribed metformin and subsequently took more notice of food labels and cut back on sweet foods.</p><p></p><p>Prior to T2 diagnosis I had an itchy rash on my scalp and later on elbows, hips, knees and buttocks (the significance of this will become apparent later). My GP treated this as eczema, thereon prescribing various creams and occasionally antihistamine tablets. This rash would occasionally settle but never go completely and kept flaring up.</p><p></p><p>History of HbA1c readings, weight, diagnoses, medication, etc:-</p><p></p><p>July 2014: T2 diagnosis, HbA1c 55, 12st 5lbs (6ft tall)</p><p></p><p>Aug 2014: HbA1c 51, 11st 11lbs.</p><p></p><p>Sept 2014: switched from metformin to gliclazide.</p><p></p><p>Jan 2015: HbA1c 49, 12st 3lbs</p><p></p><p>June 2015: HbA1c 47</p><p></p><p>Jan 2016: HbA1c 43, 12st 4lbs</p><p></p><p>Feb 2016: Stopped gliclazide medication on recommendation of diabetic nurse as just above T2 threshold.</p><p></p><p>Apr 2016: HbA1c 45</p><p></p><p>Jan 2017: HbA1c 44, 11st 4lbs. - a loss of 1 stone from the previous year. I had not been dieting and just thought the loss was due to increased activity since my retirement in April 2016, exercising every day with various activities (swimming, gym, cycling, spin classes, walking)</p><p></p><p>July 2017: HbA1c 44</p><p></p><p>Aug 2017: Due to no progress with itchy rash and doubts if it was eczema I requested a consultation with a dermatologist. Skin biopsy taken for analysis.</p><p></p><p>Oct 2017: Biopsy result indicated Dermatitis Herpetiformis (not eczema) which is a manifestation of Coeliacs Disease and is due to gluten intolerance. Consultant prescribed Dapsone. Within 2 weeks the skin settled down and rash virtually disappeared. However I need to continue taking Dapsone and require regular blood tests to monitor side effects. I have subsequently become anaemic.</p><p></p><p>Nov 2017: HbA1c 30 - a significant reduction since July!</p><p></p><p>Jan 2018: Further blood test organised by my GP indicates consistency with Coelliacs Disease. Started gluten free diet.</p><p></p><p>Jan 2018: HbA1c 27, 11st 5lbs. Weight stable over 12 months but further drop in BG! Diabetic nurse advised that my T2 diabetes is in remission.</p><p></p><p>Whilst I am pleased with the drop in BG levels over the last 6 months I am at a loss to explain the reason(s). At first the diabetic nurse said it was due to my weight loss, but she retracted this when I pointed out that the HbA1c levels were consistent (43, 45, 44) from Jan 2016 to Jul 2017 when I had lost the weight. I am wondering now if my weight loss was not due to increased exercise but due to Coelliacs which I may have had for over 3 years.</p><p></p><p>I have also queried if the Dapsone medication could have lowered my blood sugar but my consultant has dismissed that.</p><p></p><p>I would be grateful if anyone can offer some explanation for this significant drop in HbA1c and what are the consequences if it continues to fall?</p></blockquote><p></p>
[QUOTE="Roger5544, post: 1683030, member: 375672"] My blood sugar levels have undergone quite a dramatic drop in recent months and I was wondering if anyone can help explain this. First some background history - apologies if this is drawn out. I was diagnosed with T2 diabetes in July 2014. This was a complete shock as I was not overweight, have never been overweight, exercise regularly and to my knowledge there is no history of diabetes in my family. My diet was reasonably balanced but I was eating quite a lot of fruit. I was prescribed metformin and subsequently took more notice of food labels and cut back on sweet foods. Prior to T2 diagnosis I had an itchy rash on my scalp and later on elbows, hips, knees and buttocks (the significance of this will become apparent later). My GP treated this as eczema, thereon prescribing various creams and occasionally antihistamine tablets. This rash would occasionally settle but never go completely and kept flaring up. History of HbA1c readings, weight, diagnoses, medication, etc:- July 2014: T2 diagnosis, HbA1c 55, 12st 5lbs (6ft tall) Aug 2014: HbA1c 51, 11st 11lbs. Sept 2014: switched from metformin to gliclazide. Jan 2015: HbA1c 49, 12st 3lbs June 2015: HbA1c 47 Jan 2016: HbA1c 43, 12st 4lbs Feb 2016: Stopped gliclazide medication on recommendation of diabetic nurse as just above T2 threshold. Apr 2016: HbA1c 45 Jan 2017: HbA1c 44, 11st 4lbs. - a loss of 1 stone from the previous year. I had not been dieting and just thought the loss was due to increased activity since my retirement in April 2016, exercising every day with various activities (swimming, gym, cycling, spin classes, walking) July 2017: HbA1c 44 Aug 2017: Due to no progress with itchy rash and doubts if it was eczema I requested a consultation with a dermatologist. Skin biopsy taken for analysis. Oct 2017: Biopsy result indicated Dermatitis Herpetiformis (not eczema) which is a manifestation of Coeliacs Disease and is due to gluten intolerance. Consultant prescribed Dapsone. Within 2 weeks the skin settled down and rash virtually disappeared. However I need to continue taking Dapsone and require regular blood tests to monitor side effects. I have subsequently become anaemic. Nov 2017: HbA1c 30 - a significant reduction since July! Jan 2018: Further blood test organised by my GP indicates consistency with Coelliacs Disease. Started gluten free diet. Jan 2018: HbA1c 27, 11st 5lbs. Weight stable over 12 months but further drop in BG! Diabetic nurse advised that my T2 diabetes is in remission. Whilst I am pleased with the drop in BG levels over the last 6 months I am at a loss to explain the reason(s). At first the diabetic nurse said it was due to my weight loss, but she retracted this when I pointed out that the HbA1c levels were consistent (43, 45, 44) from Jan 2016 to Jul 2017 when I had lost the weight. I am wondering now if my weight loss was not due to increased exercise but due to Coelliacs which I may have had for over 3 years. I have also queried if the Dapsone medication could have lowered my blood sugar but my consultant has dismissed that. I would be grateful if anyone can offer some explanation for this significant drop in HbA1c and what are the consequences if it continues to fall? [/QUOTE]
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