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Diabetes - Adult Type II (Expert Forum)
How to control these symptoms
Answered by
Anita Ramsetty, MD - GeneralEndocrinology, Diabetes Type 1, Diabetes Type 2, Thyroid Disorders, AdrenalInsufficiency, CF-Related Diabetes
Endocrine Care Group
Questions in the Adult Type II Diabetes forum are answered by Dr. Anita Ramsetty. Topics covered include Type 2 Diabetes, blood glucose monitoring, diabetes and heart disease, diabetes and pneumonia, diabetes and pregnancy,
diabetes and vision problems, diabetes and wound healing, diabetic complications, hyperglycemia, hypoglycemia, and insulin.
How to control these symptoms
by desikudi251, Jun 22, 2008 02:45PM
Hi- (I am 5'4, 130lb Indian-Asian) for the past year or so, I've noticed a pattern of getting very tired immediately after eating. It doesn't matter if I eat a huge meal, or some fruits. With in 10 minutes, I feel as though I've taken an antihistamine and fatigue flows through my body in pulses almost. I lose all concentration, all focus, my muscles feel tired and this continues until I either take a nap or I drink lots of caffeine. Lately, the caffeine hasn't been able to keep me up either. A more recent symptom over the past 6 months or so has been profuse axillary sweating. Again, this is more so right after eating, and more so if I don't take rest after eating and exert myself. I went into the doctor the other day and had a GTT done. Here are the results:
Fasting glucose level: 82
After 30 minutes: 151
After 1:30 139
After 2:30 71 mg/dl
I was told I was hypoglycemic and maybe even prediabetic and was told to change my eating patterns. But that makes no sense to me because I dont feel sick when the sugar levels fall, but more so when they rise. I took in only proteins today and the symptoms persisted even after eating just meat, or eggs. I do not feel ill hours after eating (ie glucose level of 71mg/dl or at fasting glucose level). I feel ill immediately after my meal! Can you please help me figure out what is going on? I'm a student and this is really starting to have a horrible effect on my studies and concentration.
Fasting glucose level: 82
After 30 minutes: 151
After 1:30 139
After 2:30 71 mg/dl
I was told I was hypoglycemic and maybe even prediabetic and was told to change my eating patterns. But that makes no sense to me because I dont feel sick when the sugar levels fall, but more so when they rise. I took in only proteins today and the symptoms persisted even after eating just meat, or eggs. I do not feel ill hours after eating (ie glucose level of 71mg/dl or at fasting glucose level). I feel ill immediately after my meal! Can you please help me figure out what is going on? I'm a student and this is really starting to have a horrible effect on my studies and concentration.
Doctor's Answer
by Anita Ramsetty, MD, Jun 23, 2008 02:23PM
, Jun 23, 2008 02:23PM
HI,
I disagree with your prior diagnosis of hypoglycemia--those blood sugar levels of 71mg/dL are quite normal. It is possible that you are sensitive to the rise in your blood sugars even though they did not go very high, but it was quite a rapid rise from 82 to 151 within 30 minutes. Usually if this is the problem, switching to a lower carbohydrate content and smaller meals will help a great deal. So instead of three big meals, try instead 5 or 6 smaller mixed meals and avoid heavy carb loads at one time.
I suggest also checking a thyroid hormone level just to be sure this is not a contributing factor, especially given your recent history of increased sweating.
Take care.
I disagree with your prior diagnosis of hypoglycemia--those blood sugar levels of 71mg/dL are quite normal. It is possible that you are sensitive to the rise in your blood sugars even though they did not go very high, but it was quite a rapid rise from 82 to 151 within 30 minutes. Usually if this is the problem, switching to a lower carbohydrate content and smaller meals will help a great deal. So instead of three big meals, try instead 5 or 6 smaller mixed meals and avoid heavy carb loads at one time.
I suggest also checking a thyroid hormone level just to be sure this is not a contributing factor, especially given your recent history of increased sweating.
Take care.
