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apparently, I am hypoglycemic.

Discussion in 'Health & Body' started by thekunk07, Nov 18, 2008.

  1. Jumbie

    Jumbie Senior member

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    I don't know. Maybe you just have low blood sugar and your body is functional on it. 34 sounds more "doable" than 15 (again, after a fast).

    I don't have a ton of experience with sugars other than in hospitalized patients (where lots of things are messed up) and then predominantly with high sugars rather than low.

    If you're not experiencing any of the symptoms that stickshift mentioned earlier, then I'd consider it a non-issue. But if you do start feeling weak, dizzy, any kind of altered mental status, etc. I'd definitely bring it up with your doctor.
     
  2. thekunk07

    thekunk07 Senior member

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    ^thanks. i'm fairly anxiety ridden but always have been so it's hard to say.
     
  3. MCsommerreid

    MCsommerreid Senior member

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    ^thanks. i'm fairly anxiety ridden but always have been so it's hard to say.

    When those symptoms kick in, you'll know. There's been a few times where my blood sugars have plummeted due to not eating, being stressed out, and doing a lot of physical labor, and it felt like I was dying.

    My suggestion if you go talk to your doctor about this if you feel it might be an issue.
     
  4. quevola

    quevola Senior member

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    HYPOglycemia is a risk factor for diabetes? We never learned that in medical school. Where you thinking about HYPERglycemia?



    VERY low.


    Although I agree with you the connection between hypoglycemia and increased risk for diabetes is poorly understood and/or documented, having worked with diabetics for the past 10 years as a dietitian and certified diabetes educator, I have seen the connection between reactive hypoglycemia (low blood sugar) and increased risk for type 2 diabetes. I have followed quite a few patients who were previously diagnosed with hypoglycemia and are later diagnosed with type 2 diabetes. I think the risk may come form the increased insulin resistance that may be a consequence of chronic hyperinsulinemia (high levels of insulin in the blood).

    Either way Kunk, don't get all stressed out about it. Ask your doctor for a referral to see an Endocrinologist so that you can identify and treat any underlying issues, if there are any.
     
  5. merkur

    merkur Senior member

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  6. chuckseabreeze

    chuckseabreeze Senior member

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    Yeah, like the others have said, 15 sounds really really low.

    Symptoms (anxiety, irritability, hunger) may or may not be present in all people. Sounds like you at least have the hunger.

    There is a chance your glucose metabolism is awry. I could be wrong, but even if you fasted for 12 hours, your glycogen stores should still provide you with a lot more than 15 mg/dl of glucose.

    I agree that having 34 in another test does show it's probably not a fluke test.

    I would definitely request further work up. Could be harmless, or it could be something more.

    ps. I didn't know that HYPOglycemia was a risk factor for type 2 diabetes. Interesting. What's ironic is that a hyperglycemic diabetic functionally is "hypoglycemic" from the body tissue's point of view since you have trouble getting glucose into you cells and out of the blood stream. Of course, the real problems of diabetes are all caused from the hyperglycemic blood state.
     
  7. chuckseabreeze

    chuckseabreeze Senior member

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    A friend of mine had an insulinoma. Get yourself checked out.

    Should show up as excess insulin in blood work, so wouldn't be too hard to exclude from a differential if it's not there I would think.
     
  8. thekunk07

    thekunk07 Senior member

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    ^my wife pointed out the pancreatic concern, too.
     
  9. whodini

    whodini Senior member

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    I'm kind of surprised Jumbie didn't steal my diagnostic thunder on this one but have you or your doctor tried checking your liver function? When your glucose gets low the body goes to the liver for to produce more in a process called gluconeogenesis. If your liver is impaired then it could definitely make you hypoglycemic. It could also be some type of adrenal or pituitary insufficiency but without any other kind of info besides your glucose level it's hard to say.
     
  10. thekunk07

    thekunk07 Senior member

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    ^liver function is perfect.
     
  11. Jumbie

    Jumbie Senior member

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    I'm kind of surprised Jumbie didn't steal my diagnostic thunder on this one but have you or your doctor tried checking your liver function?
    My brain. He no work so gud. To be honest, I kind of fixated on the whole lab error aspect (to the exclusion of all else) because I'd really think that someone with a blood glucose that low would be symptomatic.
     
  12. chuckseabreeze

    chuckseabreeze Senior member

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    My brain. He no work so gud.

    To be honest, I kind of fixated on the whole lab error aspect (to the exclusion of all else) because I'd really think that someone with a blood glucose that low would be symptomatic.


    Can you really even survive on a level this low, much less be asymptomatic?
     
  13. capnpyro

    capnpyro Senior member

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    I'm not sure what I have, hyperglycemia or hypoglycemia. I saw a doctor about it a couple years ago and he listened to my symptoms and what I do to prevent it and he said basically that I'm treating it correctly and running a sugar test on me would only do harm, and to just continue what I'm doing.

    My symptoms are I when I eat sugar, say a package of skittles with having had no protein food before it I'll nearly instantly get shaky, nauseaus etc. If I eat protein (chicken/cheese/milk seems to work the best/fastest) I'll nearly instantly feel better. I can have a soda a day, or a dessert a day after a meal and stay balanced, but if I just eat sugar in between meals I get that horrible feeling. Basically protein makes me feel better, sugar fucks me up.

    Whichever it is, I can tell you hypo/hyperglycemia forces you to control your eating, you'll invariably get on a better diet then you were currently on and your body will thank you for it. It's almost nice having a bad reaction with sugar sometimes, my pigging out would be the equivalent of 2 donuts, or a candy bar and a soda (which I'd better have a block of cheese on standby for), it doesn't leave you much opportunity to get fat.
     
  14. lordofpi

    lordofpi Senior member

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    I have to also assert that this must be some sort of error. I have had type 1 diabetes since I was 12. I have had some scary moments in my life. The worst about lows for me is that the more lows I experienced over the years, the less and less symptomatic I became (not good!). At my worst, I can remember hitting 27 mg/dl (and falling, because I still had fast-acting insulin in my body -- I just didn't test it after this to see how low it really got). This induced seizure-like convulsions, trembling, vomiting (meaning I couldn't eat food to bring my sugar back up!), and semi-blindness; it merited an immediate ambulance ride to the hospital.

    For a typical person (including many hypoglycemics), once they start heading below 80 mg/dl, they start getting the shakes and cold sweats.

    I'm not saying you are not hitting 15 mg/dl, but I would definitely check it out again because it is doubtful that you would be able to walk and talk and function while at that level. And if you are truly pulling numbers like that, your doctor needs to attend to you immediately. Your brain runs on glucose in your blood, and sustained levels in the range you have described can cause permanent damage as well as induce coma. Please do not put this off.
     
  15. fkl118

    fkl118 Senior member

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    I'm not an endocrinologist (or even used to US units) but I'm also thinking that a reading of 15mg/dL does seem too low to remain asymptomatic. I think it would be difficult to sustain verticality.

    I'm guessing there's a lab error. Sometimes for example, if the blood tube isn't spun down immediately, the white blood cells consume the glucose resulting in a low number.
     
  16. chuckseabreeze

    chuckseabreeze Senior member

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    I'm not sure what I have, hyperglycemia or hypoglycemia. I saw a doctor about it a couple years ago and he listened to my symptoms and what I do to prevent it and he said basically that I'm treating it correctly and running a sugar test on me would only do harm, and to just continue what I'm doing.


    Hyperglycemic?
     
  17. lordofpi

    lordofpi Senior member

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    I'm not an endocrinologist (or even used to US units) but I'm also thinking that a reading of 15mg/dL does seem too low to remain asymptomatic.

    Well, to put it in perspective, 15 mg/dl of glucose is equal to 0.83 mmol/L -- terrifyingly low!
     
  18. thekunk07

    thekunk07 Senior member

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    got it retaken:

    glucose 20 mg/dl

    reference range is listed as 70 mg/dl-125 mg/dl

    edit: creatinine was very low, too. 10 mg/dl
     
  19. Teger

    Teger Senior member

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    Jesus christ, 20? Your body must have amazing tolerance for this, I honestly don't know how you aren't on the floor in a coma at 40, let alone 20.
     
  20. thekunk07

    thekunk07 Senior member

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    i don't know either, unless i just have piss poor glycogen stores. it was after a 12 hour fast.
     

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