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645800 tn?1466860955

Day two done and what a night

Just got home from day two of IVSM, but what a night I had last night.

At 6PM last night I had checked my glucose and it was 319 so I figured I better wait a while before I had dinner. At 11PM I a6te my dinner and almost immediately after eating I had either a mild heart attack or angina occurring. Since it felt just like the last time when I went to the ER and they claimed it was just MS Hug (which I never really believed as how would the MS HUG effect my left arm) I figured it was angina and so I climbed into a hot shower to get my arteries to open up. Within probably less than a minute the pain left my arm so I felt pretty confident that it was indeed angina. SO I didn't bother going to the ER. But I also didn't get any sleep either finally got to sleep about 2 hours before I had to get up for today's infusion.

When I got to the VA I told the nurse about last night and she ended up calling Neurology to figure out what to do. Neurology had the nurse check my glucose and it was at 302 so they gave me 8 units of insulin before starting the IV. They also bawled me out several times for not going to the ER. When they checked my O2 levels they were down to 94%, Normally they run 97% - 98% when ever they check it. So either my heart was weakened a little last night or the steroids are effecting how much O2 I am getting from my lungs. I vote for the former.

I did manage to get about a 1.5 hour nap during the infusion and it seems like my tremors have stopped completely at least for now.  I did get the same nurse to establish the IV and she used the old fashioned method and had no trouble at all getting it started. Once the infusion was finished they again checked my glucose and it was at 308 so they gave me another 10 units of insulin. They also told me to check my glucose when I got home.

After they 2.5 hour ride home I checked my glucose and it was 266. At that level how in the world could I have any dinner without a repeat of last night cardiac event. So I called the VA and talked to a nurse about this. She told me that if my glucose goes over 400 or I again have the heart symptoms I should go to the local ER immediately via 911. She is also sending a note to my PCP about this issue. I guess I was hoping they would call in a RX for some insulin with instructions, but I guess that was a very long shot. Right now I am seriously thinking of just not having anything to eat tonight at all.

About the only good news is that for tomorrows infusion they will have everything set up ahead of time for me to get insulin shots. Oh and tomorrow is the last day. Hopefully after that my glucose control will return to normal for me that is. If it doesn't I was instructed to see my PCP within 2 weeks or sooner.

Dennis
4 Responses
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5466288 tn?1410485185
I agree Dennis,you should go to ER anytime you have cardiac symptoms! That's scary! And to think you stepped into a hot shower!!!

Diabetes is so hard to regulate without medical procedures being introduced! My FIL was a "brittle" diabetic;my husband also diabetic.It's a pain,but you gotta watch those glucose levels! And steroids definitely increase the numbers!Take care-glad tomorrow is the last day!
Helpful - 0
5485096 tn?1375574235
Oh my... Take care tonight.
I hope you get some some rest! Do you feel tired at night but can't sleep? Or very energized?

I was always body tired like I over did it ... But wide awake.
I woke energized in the am though .. I could skip the coffe! :)
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645800 tn?1466860955
Actually the hot shower was the prefect answer if it was angina. The treatment for angina it nitroglycerin which dilates your arteries to increase blood flow. A hot shower does the same thing to the arteries in order to get the heat out of your body.

I did end up being able to eat dinner but feel like a rabbit. Had 12 oz of lettuce 3g of carbs, Buffalo Blue cheese Dressing 2g, grilled fish 0g, and 2 cups of coffee 2g.  I usually have around 35g per meal. 2 hours after my dinner my glucose reading was 202. So I should be safe for tonight in that regards. Too bad the VA blew it on my first night. They knew I was diabetic and that steroids raise glucose in the body. So they should have checked my glucose that first day after the infusion and probably would have given me some insulin to bring it back under control.

Cann,
   That first night probably wasn't a good test for the sleepiness and body tired. I probably had a fair amount of adrenalin in my body worrying about cardiac problems that naturally increased body  energy.

   Tonight I do feel less body energy already, but don't know yet about if I will get sleepy.

  Of and the wildlife report for this trip. I did see one yearly deer on the trip up to the VA. I also saw what looked like a farmer using natural pest control in his field. At each end of the field their was a dog laying down in a small clearing like they were guarding the field from deer and such.

Dennis
Helpful - 0
5504286 tn?1369693242
Hi Dennis,

I just checked the site and saw you posted a response to another thread a few minutes ago. I have no idea what time it is where you live (it's 10.30pm here in Australia) but I saw you've been having a rough few days and just wanted to say I hope you are doing okay.

As to wildlife, we don't have many deer in Australia, but as I write the curlews are calling over my back fence (we live near bush land). Curlews are birds that are active at night and give a long, lonely, haunting cry. Some people call them 'murder birds' as they can give quite blood-curdling screeches at times. Enough to make you believe in ghosts!

Anyway, hope you are well,
Ava
Helpful - 0
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