Hypoglycaemia?

[peanut]

Pre or post ride ?

neither really ,it just happens very occasionally out of the blue around 10-11am in the mornings and I always eat a cereal bfast

 

[LLB]

neither really ,it just happens very occasionally out of the blue around 10-11am in the mornings and I always eat a cereal bfast

It may be worth you popping along to your GP to get checked over.

 

[peanut]

It may be worth you popping along to your GP to get checked over.

thanks LLB . I have already but he was not the slightest bit interested.

Had to request a referral to a different quack just to get a blood test. They found my liver isn't working properly apparently but despite having a scan have never heard back from quacks. bluddy opeless they are.

I reckon as long as you can walk in to the surgery they reckon you must be ok!

 

[peanut]

Tut! There's always one who has to drag the conversation down to the level of the gutter isn't there?

start in the gutter and work up that way you're never disapointed

 

[LLB]

thanks LLB . I have already but he was not the slightest bit interested.

Had to request a referral to a different quack just to get a blood test. They found my liver isn't working properly apparently but despite having a scan have never heard back from quacks. bluddy opeless they are.

I reckon as long as you can walk in to the surgery they reckon you must be ok!

I self diagnosed my diabetes after going hypo on a lazy sunday morning then having to get a wriggle on as I had to get round my parents.

It took 3 months of tests before they confirmed the diagnosis.

I'd be looking at a glucose tolerance test in your position as this gives the definitive answer but this has to be requested and done at the hospital.

In the mean time, stay off the sweets if you can and eat slow release carbs like brown bread, pasta cereals etc etc, cut out processed sugars in your drinks (coke zero is ok)

And if you do have a problem you will feel much better in yourself for it in the mean time.

 

[peanut]

I self diagnosed my diabetes after going hypo on a lazy sunday morning then having to get a wriggle on as I had to get round my parents.

It took 3 months of tests before they confirmed the diagnosis.

I'd be looking at a glucose tolerance test in your position as this gives the definitive answer but this has to be requested and done at the hospital.

In the mean time, stay off the sweets if you can and eat slow release carbs like brown bread, pasta cereals etc etc, cut out processed sugars in your drinks (coke zero is ok)

And if you do have a problem you will feel much better in yourself for it in the mean time.

thank you for your concern and good advice.

I will need to change surgery and GP again which I have been putting off.
I have had several comprehensive blood tests earlier this year which apparently revealed Liver problems and Hepatitus . .When I requested a print out of my bloods 2x batches of results mysteriously went missing !

Two of my Uncles have died of diabetes so I suppose it is a risk to me but so far they have not found any evidence of a significant problem.
I'll have to make the effort to go back on thyroxin I guess.

How are you coping with diabetes ?

 

[LLB]

thank you for your concern and good advice.

I will need to change surgery and GP again which I have been putting off.
I have had several comprehensive blood tests earlier this year which apparently revealed Liver problems and Hepatitus . .When I requested a print out of my bloods 2x batches of results mysteriously went missing !

Two of my Uncles have died of diabetes so I suppose it is a risk to me but so far they have not found any evidence of a significant problem.
I'll have to make the effort to go back on thyroxin I guess.

How are you coping with diabetes ?

I'm coping fairly well with it ATM and my yearly checkup measured me right in the healthy zone . There have been times when it has just knocked the stuffing out of me though (low insulin levels make you very lethargic as your body can't absorb the glucose).

There is a genetic link on my part as my father, uncle and brother all have problems with it. One of my sisters has Hyperthyroidism as well, and there is a defined link between the diseases.

Many people trundle along for years with the symptoms and when your BG levels are high, you feel fine, but this is where the risks to heart attacks, strokes, eye problems etc etc (it is the lows which make you feel shyte)

The problem with GPs is that many are a jack of all trades and master of none.

There should be a Diabetic specialist in your surgery who you need to see, otherwise, move to one which has one. Mine is very good, but I had to move last year as the last place was a bit of a joke and very slapdash with the healthcare

 

[peanut]

interesting you should mention the eye link. My vision as gone from 20/20 to 3.5+ in just 3 years and my eyes frequently feel dry and itchy and very light sensitive usually at the same time as I get a urinary tract infection.I'm so exhausted all the time that I frequently sleep for 9-12 hours and have started to fall asleep at work

I'll take your advice and see if I can find a good GP

sorry to hyjack this thread for my health care problems

 

[LLB]

interesting you should mention the eye link. My vision as gone from 20/20 to 3.5+ in just 3 years and my eyes frequently feel dry and itchy and very light sensitive usually at the same time as I get a urinary tract infection.I'm so exhausted all the time that I frequently sleep for 9-12 hours and have started to fall asleep at work

I'll take your advice and see if I can find a good GP

sorry to hyjack this thread for my health care problems

No problem , Until they come back with some result to give you answers one way or the other, keep chasing them.

Signs of uncontrolled diabetes are wanting to go to the loo regularly (body trying to get rid of the glucose through the kidneys), Thirstyness (sp),blurred vision & tiredness but this could also come from the thyroid problem.

Good luck.

 

[Jonathan M]

thank you for your concern and good advice.

I will need to change surgery and GP again which I have been putting off.
I have had several comprehensive blood tests earlier this year which apparently revealed Liver problems and Hepatitus . .When I requested a print out of my bloods 2x batches of results mysteriously went missing !

Two of my Uncles have died of diabetes so I suppose it is a risk to me but so far they have not found any evidence of a significant problem.
I'll have to make the effort to go back on thyroxin I guess.

How are you coping with diabetes ?

all the symptoms that you describe can be attributed to thyroid disease, you make reference to making an effort to go back onto thyroxine, so surely concordance with that treatment would be the first step, and then once the doses have been titrated to your TFT results if your symptoms show no improvement further investigations would be indicated.

Regarding diabetic eye disease (diabetic retinopathy) the initial stages don't alter visual accuity, the damage is occuring to the blood supply to the retina. This is why people with diabetes undergo an annual retinal screening using digital imaging, as by the time retinopathy effects vision it is usually far advanced. But uncontrolled hypothyroidism can cause visual disturbances.

The link between diabetes & hypothyroidism is pretty much proven in type 1 diabetes, as they are both autoimmune conditions. Other autoimmune conditions associated with T1DM are coeliac & addisons (adrenal insufficiency).

Type 2 diabetes is much more of a metabolic condition, with lots of precursors such as abnomal lipids, etc, and in general diabetes overall is treated as a metabolic disorder nowadays, so it isn't viewed as just an endocrine, glucose metabolism problem, but a multi system condition requiring treatment and preventative actions.

Diabetes itself doesn't kill, but the complications of the condition (both acute & chronic) are what cause the long term health problems and ultimately premature death. There is still much that needs to be researched with respect to diabetes & its prevention & management, but the last 20 years have seen significant advances in treatment, tighter diagnostic criteria, and better screening for long term complications for people with diabetes.

If you want to read more about signs & symptoms then go to www.diabetes.org.uk

 

[peanut]

thank you Jonathan for your very helpful advice.My current practice made it so difficult to get repeat prescriptions every month that you would think I was on heroin not thyroxin .
With a former daily commute to work of 3 hours I could never get home in time to get to the surgery before they shut at 5.30pm!

My GP is such an ignorant unhelpful *%$#* and I had to jump through hoops and consult another GP to get a referral for an MRI scan recently.

I'll make another appointment with a different GP and restart the thyroxin treatment. Can't go on like this . I slept 11 hours last night and woke feeling exhausted this morning, Can't concentrate on anything, forgetful, and very depressed.
Really appreciate your kind advice thanks

 

[Jonathan M]

thank you Jonathan for your very helpful advice.My current practice made it so difficult to get repeat prescriptions every month that you would think I was on heroin not thyroxin .
With a former daily commute to work of 3 hours I could never get home in time to get to the surgery before they shut at 5.30pm!

My GP is such an ignorant unhelpful *%$#* and I had to jump through hoops and consult another GP to get a referral for an MRI scan recently.

I'll make another appointment with a different GP and restart the thyroxin treatment. Can't go on like this . I slept 11 hours last night and woke feeling exhausted this morning, Can't concentrate on anything, forgetful, and very depressed.
Really appreciate your kind advice thanks

For a long term condition they should really be more accomodating, and so long sa your thyroxine dose is stable they should be willing to issue prescriptions for longer periods of time if it improves your ability to take the medication.

 

[LLB]

all the symptoms that you describe can be attributed to thyroid disease, you make reference to making an effort to go back onto thyroxine, so surely concordance with that treatment would be the first step, and then once the doses have been titrated to your TFT results if your symptoms show no improvement further investigations would be indicated.

Regarding diabetic eye disease (diabetic retinopathy) the initial stages don't alter visual accuity, the damage is occuring to the blood supply to the retina. This is why people with diabetes undergo an annual retinal screening using digital imaging, as by the time retinopathy effects vision it is usually far advanced. But uncontrolled hypothyroidism can cause visual disturbances.

The link between diabetes & hypothyroidism is pretty much proven in type 1 diabetes, as they are both autoimmune conditions. Other autoimmune conditions associated with T1DM are coeliac & addisons (adrenal insufficiency).

Type 2 diabetes is much more of a metabolic condition, with lots of precursors such as abnomal lipids, etc, and in general diabetes overall is treated as a metabolic disorder nowadays, so it isn't viewed as just an endocrine, glucose metabolism problem, but a multi system condition requiring treatment and preventative actions.

Diabetes itself doesn't kill, but the complications of the condition (both acute & chronic) are what cause the long term health problems and ultimately premature death. There is still much that needs to be researched with respect to diabetes & its prevention & management, but the last 20 years have seen significant advances in treatment, tighter diagnostic criteria, and better screening for long term complications for people with diabetes.

If you want to read more about signs & symptoms then go to www.diabetes.org.uk

You sound like a doctor (or someone who takes a keen interest in the condition). All looks like good sound advice. I know little about the effects of Hyperthyroidism, so I wouldn't want to comment on any.

However, the effects of 'Hyperglycaemia' and blurred vision are well documented, and often reported on in the diabetes.org.uk forum you referred too (I'm a member there also)
The problem with this condition is lack of control. The body never wants to stay in the healthy zone, and it is much easier to stay high and risk the problems than it is to try and balance around the 4.0 to 7.0 mark.

I attended a DESMOND course last year, and one of the people who also turned up (old chap about 80+) stated his Blood sugars were around the 27.0 mark (and he felt fine with it )

 

[Jonathan M]

However, the effects of 'Hyperglycaemia' and blurred vision are well documented, and often reported on in the diabetes.org.uk forum you referred too (I'm a member there also)

Indeed they are, but itchy, gritty eyes as peanut describes are certainly a recognised symptom of hypothyroidism, whereas I'm unaware of this sensation occuring due to hyperglycaemia.

While Peanut certainly does describe symptoms that could be attributed to undiagnosed diabetes, they can also be signs of uncontrolled hypothyroidism, and as Peanut has a supply problem with thyroxine, then that certainly needs addressing first & foremost. The four textbook signs & symptoms of diabetes are thirst, excessive urine production, weight loss, lethargy. It's extremely easy to rule out, a fasting glucose would do the job, if this isn't conclusive then maybe an OGTT, but Peanut needs to find a way of encouraging his GP to meet his current needs.

 

[peanut]

Thank you for spending some time to think about my symptoms and offer some advice . I really appreciate it. My GP has been so non-commital that I have been left to get on ith it for over a year now.

I have been convinced that I was suffering from some sort of chronic virus for several years now.Periodically I get a UTI which lasts for a couple of months at a time .
It starts with itchy ,light sensitive eyes then frequent urination and very smelly urine followed by extreme exhaustion and difficulty concentrating.

. My Chiropracter suggested Reiters syndrome which seems to have all the right symptoms.When I mentioned this to my GP he looked straight through me like I was talking a foreign language

If I could afford it I would go for a private consultation at Bupa etc

I will contact the surgery tomorrow and request an appointment with a different GP They will probably think I'm making a fuss over nothing but at least I'll get to start a thyroxin treatment again. It should help my immune system and give me back some energy.
Thanks for your support its given me some motivation to do something about my poor health