Symptoms but all tests normal

[Ronengeller]

Hi During my stay at a hospital I was given large amounts of antibiotics. Right after a week been hospitalized again and given more and after a few days while still getting iv antibiotics I started to have tingling in my feet and soon realize it was after I ate anything sweet. After a month and then once again I undergone a1c test which came out to be ok though I still can’t eat anything sweet because I shortly get heat in my body sensation shortness of breath unsettling feeling in my feet and dry mouth. (at the time being in the hospital my a1c was pre diabetes but I might have eaten before but since it was ok) I measured my blood sugar after a large meal recently when I had those symptoms and it was 150 mg/dL or 8.3 mmol/l and my fasting glucose is 99 mg/dL or 5.5 mmol/l so I don’t know what’s wrong with me because according to a1c I’m supposed to tolerate sugar and I don’t.. it’s been going on for half a year now. So what test should I get At all to know how to proceed? Also I take antipsychotic medication seroquel 800mg a day and tegritol. Thanks! P.s.no one in my family has diabetes and weight is 102 kg at high bone density

 

[Antechinus]

Hi Ronen,
I think it's possible that your gut biome has been seriously affected by your antibiotics and this will have an affect on glucose signalling to the liver. Your gut sends signals to the liver as soon as you eat something and liver releases glucose to get pancreas ready to make insulin. I would guess that this signalling system is out of whack.
Keep a diet diary and see what foods affect your blood glucose levels.

 

[Ronengeller]

Hi Ronen,
I think it's possible that your gut biome has been seriously affected by your antibiotics and this will have an affect on glucose signalling to the liver. Your gut sends signals to the liver as soon as you eat something and liver releases glucose to get pancreas ready to make insulin. I would guess that this signalling system is out of whack.
Keep a diet diary and see what foods affect your blood glucose levels.

Ok thanks! I’m pretty sure it’s anything that has detectable amount of real sugar in it even Asian noodles semi sweet. I pretty much sure because I can vividly sense the symptoms even without blood sugar test (though the test reveal normal amount of sugar after a meal or is it yet above average and known to cause symptoms at 8.3?) The question is how do I fix it? Should I take probiotics and if yes what kind? Maybe get a gut microbea sample? I’m not sure what to tell the doctor also is 8.3 mmol/l after eating is above normal? What is she says it’s ok then I only have my symptoms to rely on. Is there another test that can possibly tell what is the organ or the cause of the problem and the possible way of treatment and if I really can’t at this point eat anything sweet or is this can be fixed because what if even if I do manage diabetic diet while something otherwise fixable is wrong and I can get a real type 2 diabetes?

 

[Listlad]

I have had a tendency to exhibit a range of classic T2 symptoms at relatively lower blood sugar levels.

 

[Ronengeller]

I have had a tendency to exhibit a range of classic T2 symptoms at relatively lower blood sugar levels.

How do I convince my doctor that for me personally 8.3 is high blood glucose?
They ultimately saying that my a1c level is ok then it’s fine so is there a test to prove them it isn’t?

 

[Listlad]

How do I convince my doctor that for me personally 8.3 is high blood glucose?
They ultimately saying that my a1c level is ok then it’s fine so is there a test to prove them it isn’t?

Not sure. I was just trying to compare your circumstances with mine. There is some commonality there.

I am not so certain that we all flip over to being diabetic at exactly the same point, even though diagnostically this seems to be the case.

 

[DCUKMod]

I have had a tendency to exhibit a range of classic T2 symptoms at relatively lower blood sugar levels.

How did you know that, Listlad?

 

[Listlad]

How did you know that, Listlad?

Over the course of time a significant number of symptoms associated with T2 diabetes became apparent. Initially some of them were at an early lower level but became more prominent over time. As time went by other symptoms became obvious and symptoms reached a peak about a year ago, before going low carb. At that time prevailing HBA1c tests were back to back 40s / 41s.

Since going lower carb the symptoms have reversed. Except if I have anything much currently that is significantly carby in the day then some of the symptoms return.

My highest HbA1c test result was at a time when symptoms were significantly less than they were when my HbA1c results were in the low 40s.

 

[DCUKMod]

Over the course of time a significant number of symptoms associated with T2 diabetes became apparent. Initially some of them were at an early lower level but became more prominent over time. As time went by other symptoms became obvious and symptoms reached a peak about a year ago, before going low carb. At that time prevailing HBA1c tests were back to back 40s / 41s.

Since going lower carb the symptoms have reversed. Except if I have anything much currently that is significantly carby in the day then some of the symptoms return.

My highest HbA1c test result was at a time when symptoms were significantly less than they were when my HbA1c results were in the low 40s.

The thing is though, your A1c gives a broad brush stroke average. It tells you nothing about what your sugars are or were at any given time.

 

[Listlad]

It tells you nothing about what your sugars are or were at any given time.

Indeed. But the symptoms do.

 

[DCUKMod]

Indeed. But the symptoms do.

"Symptoms can relate to high or low blood glucose, not to mention things like intolerance.

I'll spare you a long story, but I had a friend who always felt hot, got thirst, and developed a red face - usually after eating lunch, but also often if he had a glass of beer.

Were he posting here for guidance, bearing in mind we're talking beer here, plus lunches usually sandwich based, but often also fruit, he would possibly be advised to try cutting the carbs back a bit and see how he went.

Actually, they gay has coeliac disease, which at that time was un-diagnosed.

Edited for typo

 

[Veryanxious]

Something i am trying now, as i believe my inconsistency with sugar is due to antibiotics i took and then kefir. I would suggest to include cruciferous vegetables in you diet for a month before taking probiotics.
I have theory the kefir i took aggravated the problem. I was not able to eat anything after being released from hospital. My gut system was ruined due to heavy antibiotics. Then after 2 years i took kefir, it helped me eat food and i used eat alot. But 6 months later i got prediabetes diagnosis. I would not suggest you to eat probiotics or anything. Justceat normal low carb and add lots and lots of green and cruciferous vegetables in you diet. Let your gut bacteria stabilize on itw own.
I would suggest do not take probiotics.
You can also try IF with low carb. Fasting will give your gut system some rest and i have read that ut also stabilizes bacterias of the body.
Also don't take antibiotics, IV antibiotics, doxcy and amoxicillin ruined my health from being healthy individual to sick.

 

[Antechinus]

Hi Ronen,

For starters I'm only suggesting things that occur in a very grey area of medicine, as your post sat idle for a long time. Certainly antibiotic therapy can stuff up your micro-biome, but also the medications you are on can also have a significant effect on your body. Neuritis (inflammation or nerves) is listed a known side effect of Tegretol; it is known that high blood glucose levels causes oxidative stress in neurons, so possible what you are feeling is inflammed nerves being pushed over the edge into a firing state by a sudden shift in blood glucose. This, of course, is all conjecture, and impossible to prove. I doubt there is a test for measuring neuritis at a sub clinical level, and I know there is nothing for measuring the affect of blood glucose levels on nerve function in real time. So all I mention are physiological possiblities.

There is no evidence that probiotics do anything to improve your gut biome, in fact the evidence is that there is no lasting effect. However, the best approach to encourage normal gut flora is by avoiding sugars, all forms, as "bad" microbes a sugar junkies. So keto or low carb with intermittent fasting encourages healthy gut flora, this will also modulate your blood sugars better. Also avoid any potential food allergies you may have, such as lactose or gluten, as these can cause leaky gut syndrome and stuff up your gut flora.

Hope this helps

Paul

 

[Listlad]

"Symptoms can relate to high or low blood glucose, not to mention things like intolerance.

I'll spare you a long story, but I had a friend who always felt hot, got thirst, and developed a red face - usually after eating lunch, but also often if he had a glass of beer.

We her posting here for guidance, bearing in mind we're talking beer here, plus lunches usually sandwich based, but often also fruit, he would possibly be advised to try cutting the carbs back a bit and see how he went.

Actually, they gay has coeliac disease, which at that time was un-diagnosed.

A few too many typos in amongst that lot.

Each and every one of my symptoms disappear when I don’t consume carbs very much. Which of course is virtually all the time. The only symptom that has not been reversed yet is the higher blood pressure but that is heading downwards.

 

[Lotties]

A few too many typos in amongst that lot.

Each and every one of my symptoms dissapear when I don’t consume carbs very much. Which of course is virtually all the time. The only symptom that has not been reversed yet is the higher blood pressure but that is heading downwards.

Good news that you had found a useful correlation!
I have decided to move forward on the following basis - low carb and TRE (generally OMAD or TMAD) to reduce ongoing damage, periodic fasting period, 48 - 96 hrs to promote autophagy and healing.

 

[Listlad]

Good news that you had found a useful correlation!
I have decided to move forward on the following basis - low carb and TRE (generally OMAD or TMAD) to reduce ongoing damage, periodic fasting period, 48 - 96 hrs to promote autophagy and healing.

Yes, that correlation is there for sure, in my case at least. And useful too.

 

[DCUKMod]

A few too many typos in amongst that lot.

Each and every one of my symptoms dissapear when I don’t consume carbs very much. Which of course is virtually all the time. The only symptom that has not been reversed yet is the higher blood pressure but that is heading downwards.

Errant keyboard/auto-correct typos sorted.

The point I am trying to make is we can best guess what makes things happen (whether high, low blood glucose, hypos or whatever), but without the simplest of test, involving pricking the finger and a five second wait, and a bit of record keeping, we are making our best guess.

It might be right, but it could always be wrong.

 

[Listlad]

Errant keyboard/auto-correct typos sorted.

The point I am trying to make is we can best guess what makes things happen (whether high, low blood glucose, hypos or whatever), but without the simplest of test, involving pricking the finger and a five second wait, and a bit of record keeping, we are making our best guess.

It might be right, but it could always be wrong.

I take your point. I have used secondary indicators for many years in the scientific field where direct primary indicators are not available. If there is enough of them and they are relevant then they count. My secondary indicators are at least a dozen strong and all point to the same thing.

 

[DCUKMod]

As has been said many a time on this forum: Correlation does not equal causation.

 

[Listlad]

As has been said many a time on this forum: Correlation does not equal causation.

Correct.