Well, hopefully, you have a glucose meter at home with test strips (or whatever) you can use to monitor your fasting blood sugar levels. It's fairly easy to find normal values online for what a fasting blood sugar should be. If they are abnormal, it's definitely something you want to bring up with your doctor. Apples are supposed to be good for helping to control your blood sugar level I've read and cinnamon can have an affect too, so you might want to talk to your doctor to see if you should try both or either of these things to help if you have high blood sugar levels.
Getting a copy of your medical records is a great idea! If you can organize them in a folder, they can be pretty easy to lay your hands on when you are planning to visit a doctor... you can have them at your fingertips anywhere you go. You'll want to make sure if they look at them you get your copies back so you don't have to start over in getting more copies, which I imagine might cost some money?
If you don't have one already, please buy a blood pressure monitor from the store. The instructions on them are quite simple and you can learn if you are having high blood pressure readings frequently or not at home that way. Hypertension is definitely something to watch for if you have a lowered glomerular filtration rate (GFR) with your one kidney. Also, if you do, avoiding NSAIDs such as ibuprofen I believe is generally advised too (have a sibling with two kidneys, but one is congenitally defective)- you probably already know that about NSAIDs.
There is a way you can do the "poor man's tilt table" test at home. Use a blood pressure cuff that also takes your pulse. Omron is generally a good brand if you can get one of those.
Take your pulse or have someone do it that knows how- that's in case the monitor gets the pulse wrong (sometimes they seem better for the blood pressure than the pulse reading). Lay down for about ten minutes. Take your blood pressure and pulse with the monitor & then take your pulse in your wrist. Then stand up. Wait a full minute and take your pulse, etc. again. If your pulse is more than 30 beats a minute faster standing than it is when you are lying down, you might even remain standing and take it again after you've been standing five minutes. Record the numbers and show them to your doctor you and ask if you could be referred to an electrophysiologist for a REAL tilt table test. Another test that might be done to confirm P.O.T.S. is a standing plasma norepinephrine test.
If you learn you have any form of dysautonomia, including if you have P.O.T.S., as I do, feel free to join the dysautonomia forum here on medhelp and ask questions! Here's a link:
Going to a neurologist would be wise- they may want to order a brain scan and possibly an EEG as well with your symptoms.
Additionally, I am strongly suspecting you may be suffering from water toxicity given the amount of fluid you say you are taking in. Water toxicity can lead to an electrolyte imbalance in your body, cause seizures and be deadly. Too low of sodium caused by water intoxication might also explain the syncope (fainting).
Please be sure and cut back your fluid intake tremendously- think 48 ounces per day up to a maximum when you have a virus or infection of 80 ounces per day. Talk with your nephrologist (I hope you do have a kidney doctor since you have only one kidney?) about your situation also.
Why do you drink so much water? Are you incredibly thirsty? If you are that thirsty I would suspect diabetes. If your blood sugar is out of whack it could cause some of the symptoms you are talking about. Also, I would see if a doctor can rule out Thyroid problems or certain types of epilepsy. I wish you better health.
Very dry mouth and thirsty my urine is sweet to smell an dark in colour and I've had blood test an they Said it was normal but I think they haven't checked all forms of diabieties.
Diabetes runs in the family I think mine fluctuates too much
Did they run HgA1c tests on you in checking for diabetes? With your thirst and sweet smelling urine, along with a family history of diabetes, it would be worth investing in a home blood sugar check machine- I've read they can start as low as ten bucks & obtaining some at home some fasting blood sugar levels. Are you using sugarless gum or sugarless hard candy for your dry mouth?
Dark urine when you are drinking that much could be a sign of something wrong with the liver- did they check your liver function?
They said the did a full check on blood including organ functions thyroids glands and told me all was ok
I'm starting to wonder ...... After I woke this morning I went to the loo and it was dark and had a sweet smell yesterday I had about 3 litres of liquids
Wonder if they were looking at the results of somebody else's labs? Happened to me once. Same name, wrong patient. Though first thing in the morning if your body's been holding it for hours, urine is likely to be more concentrated. Did you call the nephrologist yet?
Went to my docs and told him everything
I have a few results stating low blood pressure the doc said deformed not got diabetes but is sending me for an adominal scan and adrenial gland check ? Hypotention could be one of my problems .... Got to wait now for the scan and egghead cap lol at the rate everything is going it could be 2014 by the time I find out what's going on.
Deformed not got diabetes? I don't understand that statement. What did the doctor say about how much you are drinking?
Sorry its the predictive text its defo not got diabeties
but last night around 9.50pm I all of a sudden felt somethin wash over me and I started feeling quezy and lightheaded I was sat down.
So I checked my sugar levels on aviva nano and it had dropped to 4.6mmol I know this ain't low enough I am gona wait now and check it the next time i feel it drop.
First thing that came to mind was a problem with your one kidney and that you could be dealing with DI (Diabetes Insipidus) secondary to a kidney issue. There are different kinds of DI too.
Any imaging of your head done? If not, get an MRI of the brain/head WITH constrast done. A Urinalysis, a Renal panel and a 24 hour urine test shoud be ordered as well.
Your regular physician can order the above.
This is NOT purely Neuro. You are having some neuro symptoms, but this is NOT anything for a Neurologist to investigate in my opinion. Ideally, you should consult an Endocrinologist.
Well....at least he has ordered a scan of your adrenal gland. This will give some view of part of the kidney. He should have ordered a scan of the entire kidney and adrenal gland.
Sounds like a job for an Endocrinologist or a Kidney Specialist.....not sure which at this point.
On the blood sugar, how does that number translate when it comes to milligrams per deciliter, which has a normal fasting range of 70-100 according to one website?
Did you talk to the doctor about the amount of fluid you are drinking? It's EXTREMELY important.
In diabetes insipidus, my understanding is a person can urinate copious amounts of fluid even during a test when they are withholding water from themselves. The abdominal scan will picture her one kidney along with all her abdominal organs.
Kjo22 is drinking far too much fluid, and I imagine her electrolytes have been thrown off balance- very serious. I hope she has a nephrologist given she has one kidney and that he/she is aware of the situation right now, including dark urine despite drinking way too much. Is it a liver problem, is it old blood in the urine, infection, stone in the bile duct, etc.? Way too many unknowns here. The abdominal scan hopefully would pick up if there's a stone in the bile duct.
The doctors need to know how much she's drinking if they haven't been made aware. I wonder if they've checked her electrolytes?
They may be suspecting Addison's disease with the low blood pressure/adrenal angle, but did they order lab tests of cortisol & aldosterone as a part of their adrenal gland check? If the cortisol is too low, definitely an endocrinologist should be in the picture. I still can't tell if the doctor is insisting no diabetes mellitus?
When you mention brain MRI, Londres- if you are thinking in relation to a possible pituitary tumor/abnormality and testing from an endocrinologist proves hormonal abnormalities, there is a special dynamically done MRI of the pituitary gland, with and without contrast... done differently than a general brain MRI scan.
Ummmm ok the Endocrinologist the doctor did say he might refer me to after the abdominal scan an adrenaline gland has been checked this is due to water consumption, urine colour an sweetness and the one kidney issue
you have all been pointing in the right direction its just the long wait for doctors to move.... I have looked at Di and its the closest so far that I've come across.
And I now think that on the one occasion that I had a suspected seizure it was due to re occuring black out and low enoughblood pressure and Di all at the same time I also think I had picked up a bug I don't think my body could take anymore and i had the seizure.
Appointments waiting for scan on Stomache and egg head cap to monitor brain waves I am back at docs in two wk
Well....it's unfortunate you have to wait.
Do keep us posted.
No, that's NOT what I was thinking. I haven't a clue what you were talking about.
I sure wouldn't feel comfortable waiting if I were in your shoes. I'd probably going to get emergent care. If they sent me home with the really bad symptoms instead of admitting me and trying to figure out how the could help me get stabilized, I'd be calling regularly to see if I could get my appointments moved out (ie- did they get any cancellations where I could get a sooner appointment and tell them how bad off I was).
So you do have an EEG (electroencephalograph) ordered I take it, as that measures the brain waves while you sleep (guess you call it an egg head cap there)? I'm glad they ordered that and the abdominal scan! Did they not check your cortisol or electrolytes (ie- sodium, potassium, etc.)?
You suggested in your opinion this was not anything for a neurologist to investigate, but ideally an endocrinologist instead. You also suggested she should ask for a brain MRI, and wondered about diabetes insipidus and about a possible adrenal issue.
With diabetes insipidus and adrenal issues both having to do with endocrine hormones which the master gland, the pituitary in the brain, has a direct bearing on, I wondered if you were thinking of the pituitary when you suggested the brain MRI. Now I know your answer is no. Hope this clears up your confusion as to what I was talking about with my question?
Please keep us posted dear.
I hope you get some answers soon.
Oops- noticed I made a number of mistakes on my last post to you. I meant:
"I'd probably BE going to get emergent care."
"...how THEY could help me get stabilized..."
"...see if I could get my appointments moved UP..."
Looks like I need to proofread before posting, expecially as they don't have an edit feature on this site! I'm sorry about the blunders.
Its ok don't worry.....
So far I have an app for neurophyiology in July
waiting on scan app and eeg
I said to my doc about the urine being sweet .... He did no urine test or asked me for a sample I am gona get a copy of my records as I might be able to find out the actual results of blood, thyroid ect ......
But so far to me anyway it could be a problem with my single kidney with hypertension and something else not sure what.....
One of my friends thinks pots??? With Di
I don't know but what I do know is they need to sort it out.
Thanks for helping you have all been great!
Oh and if I get to the point I will go a&e
Are you in the UK? If you are....OMG, the medical care there is SLOW and mediocre.
Not sure about the POTS too, but anything is possible at this point.
I still believe this is DI or something Endo involving the kidney.
Well...keep us posted.
Thank you, yes I have the aviva nano I've just got some more strips for it I also have the urine keto test strips and I think I will go and get a blood pressure monitor today.
I spoken to my neurologist yesterday and he said I would have to go back to my doctor to arrange a tilt table test ect
as he can arrange them????
I have the eeg in July and I'm waiting for my scan app, waiting game again.
Generally, specialists want to stick to their niche and have the patient go back to square one- the primary care physician about issues they don't deal directly with. Particularly if you test at home and it shows your heart is jumping in rate by over 30 beats per minute after standing at least a minute, you could, with evidence in hand (your recordings of the numbers), request to be referred to an electrophysiologist/cardiologist for a tilt table test.
Let me know the results of your EEG when you get them?