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<blockquote data-quote="pinky-poo123" data-source="post: 213742" data-attributes="member: 36445"><p>Type 2 diabetes mellitus: December 2008</p><p>DKA: July 2009 (likely due to temporary beta cell failure)</p><p>Reactive hypoglycaemia: 2011</p><p>Hyperlipidaemia</p><p>Depression / anxiety</p><p>Current smoker</p><p></p><p></p><p>December 2008: Admitted to Hospital with community acquired pneumonia. Found to have high random BMs. Did not attend for O/P OGTT or follow-up appointment</p><p></p><p>July 2009: presented to GEH with DKA, precipitated by shoulder abscess (Blood gas: H 51.3, pCO2 2.8, HCO3 10.1, BE -14; urine ketones positive)</p><p>started on Novomix 30</p><p>history of significant weight gain in preceding 1 year (from size 12 to size 22), eating high quantities of chocolates, snacks, etc. </p><p>initial HbA1c: 12.9%, Islet cell and GAD antibodies: negative</p><p></p><p>November 2009: Was only taking 5 units of Insulin a day, tried on Metformin but intolerant to it</p><p>Insulin discontinued, tried Sitagliptin</p><p>Laura admitted to being obsessive with regards to BM monitoring (checking >20 times per day and drinking Lucozade if BMs fell to < 10 mmol/l)</p><p></p><p>August – December 2010: stopped taking all oral hypoglycaemic agents in October 2010</p><p>HBA1c: 5.7%</p><p>lost significant amount of weight</p><p></p><p>May 2011: Recurrent hypoglycaemic episodes x 1/12 history (BMs down to 2.2, associated with shakes, sweats and collapses</p><p>tended to occur after lunchtime or eating</p><p>Short synacthen test: normal (cortisol 330 to 694), TSH 2.74, fT4 15.2, LFTs and U+Es normal</p><p></p><p>June 2011: Admitted for 72 hour fast</p><p>lowest lab glucose: 3.3, therefore insulin / C-peptide levels not done</p><p>no collapses or aobvementioned symptoms of hypoglycaemia noted</p><p></p><p>July 2011: Diagnosis of reactive hypoglycaemia made</p><p>tried on Acarbose 50mg BD but Laura stopped it after 2 weeks due to side-effects</p><p>Referred to dietician for low GI diet but Laura did not find it particularly useful</p><p></p><p>August 2011: Seen in clinic and diagnosis of reactive hypoglycaemia explained again</p><p>Laura and mother concerned about disabling nature of symptoms and have requested second opinion</p><p></p><p>some one must no of a hospital that will be able to help me plzzz</p></blockquote><p></p>
[QUOTE="pinky-poo123, post: 213742, member: 36445"] Type 2 diabetes mellitus: December 2008 DKA: July 2009 (likely due to temporary beta cell failure) Reactive hypoglycaemia: 2011 Hyperlipidaemia Depression / anxiety Current smoker December 2008: Admitted to Hospital with community acquired pneumonia. Found to have high random BMs. Did not attend for O/P OGTT or follow-up appointment July 2009: presented to GEH with DKA, precipitated by shoulder abscess (Blood gas: H 51.3, pCO2 2.8, HCO3 10.1, BE -14; urine ketones positive) started on Novomix 30 history of significant weight gain in preceding 1 year (from size 12 to size 22), eating high quantities of chocolates, snacks, etc. initial HbA1c: 12.9%, Islet cell and GAD antibodies: negative November 2009: Was only taking 5 units of Insulin a day, tried on Metformin but intolerant to it Insulin discontinued, tried Sitagliptin Laura admitted to being obsessive with regards to BM monitoring (checking >20 times per day and drinking Lucozade if BMs fell to < 10 mmol/l) August – December 2010: stopped taking all oral hypoglycaemic agents in October 2010 HBA1c: 5.7% lost significant amount of weight May 2011: Recurrent hypoglycaemic episodes x 1/12 history (BMs down to 2.2, associated with shakes, sweats and collapses tended to occur after lunchtime or eating Short synacthen test: normal (cortisol 330 to 694), TSH 2.74, fT4 15.2, LFTs and U+Es normal June 2011: Admitted for 72 hour fast lowest lab glucose: 3.3, therefore insulin / C-peptide levels not done no collapses or aobvementioned symptoms of hypoglycaemia noted July 2011: Diagnosis of reactive hypoglycaemia made tried on Acarbose 50mg BD but Laura stopped it after 2 weeks due to side-effects Referred to dietician for low GI diet but Laura did not find it particularly useful August 2011: Seen in clinic and diagnosis of reactive hypoglycaemia explained again Laura and mother concerned about disabling nature of symptoms and have requested second opinion some one must no of a hospital that will be able to help me plzzz [/QUOTE]
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