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Doctor insights on: Dka Vs Hhns Glucose

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My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?

My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?

Reactive hypoglycemi: yes. It is. Whenever you eat ready sugars or simple sugars( made with table sugar, juices) your body releases lots of insulin . Your sugars get absorbed mostly from stmach and there is still insulin in the blood that continue to lower your sugar.you should avoid ready sugars and take more complex carbs. Along with proteins. You most likely will be developing diabetes in near future. So watch !! ...Read more

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Blood Sugar (Definition)

The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or animal. The body naturally tightly regulates blood glucose levels as a part of metabolic homeostasis. Glucose is the primary source of energy for the body's cells, and blood lipids (in the form of fats and oils) are primarily ...Read more


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Basal glucose =81 mg/dl but insuline =38 mU/ml (insuline/glucose > 0,3 ). Symptoms of ipoglycemia... How to exclude an insulinoma? Ultrasound?thanks!

Basal glucose =81 mg/dl but insuline =38 mU/ml (insuline/glucose > 0,3 ). Symptoms of ipoglycemia... How to exclude an insulinoma? Ultrasound?thanks!

Hypoglycemia: To diagnose insulinoma, you need to demonstrate inappropriately high insulin/C-peptide when your glucose is low. A glu of 81 is not low, it is normal. You have symptoms of hypo, but these symptoms are often from something else. Insulinoma is rare. Do not start getting CT/ultrasound etc until you establish the biochemical diagnosis first. An Endocrinologist can help you. ...Read more

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Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.

Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.

Sorry!: Sorry. Hypoglyciemia is very uncommon in people without diabetes. Meters are not accurate and do not confirm the diagnosis nor are ogts. Ask your doctor to allow you to wear a continous glucose sensor-ipro for 3 days. ...Read more

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I am prediabetic with higher blood sugar and insulin levels. L just had a 3 hour glucose tolerance test. Fasting sugar is 63, insulin is 2. Meaning?

I am prediabetic with higher blood sugar and insulin levels. L just had a 3 hour glucose tolerance test. Fasting sugar is 63, insulin is 2. Meaning?

Doesn't matter: The numbers aren't really important or valuable. If you're overweight and have high glucose (particularly with a positive family history) you need education, diet, exercise, weight reductio and maybe medication -- not just a diagnosis. The diagnosis doesn't help you get healthier. ...Read more

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Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?

Need C-peptide test: Since exogenous (injected) insulin will show on a blood test, C-peptide should be measured to assess for endogenous insulin. Proinsulin is made by the pancreas, then cleaved into C-peptide & insulin. Exogenous insulin has no C-peptide. ...Read more

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What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?

What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP  (> 180/100) and dm (fasting blood sugar >350)?

Prognosis: You probably don't need a doctor to tell you these parameters are not suggestive of a favorable prognosis ... Dialysis patients are very challenging and a team effort needs to be made to change coarse good luck. ...Read more

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What are the differences between diabetic ketoacidosis and a hyperosmolar hyperglycemic state?

What are the differences between diabetic ketoacidosis and a hyperosmolar hyperglycemic state?

Insulin and acidosis: Hi. DKA is an insulin deficient state that contrary to lay bias, occurs in both type 1's AND type 2's. The nonketotic hyperosmolar, hyperglycemic state is a condition that occurs in type 2's; they have enough insulin to prevent ketoacidosis but not enough to prevent profound hyperglycemia and hyperosmolarity. It takes FAR LESS insulin to prevent ketoacidosis than it does to prevent hyperglycemia. ...Read more

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Diabetic vs. Non diabetic sugar levels, what are the differences?

Diabetic vs. Non diabetic sugar levels, what are the differences?

It's a slow: Progression from obesity to Insulin resistance to prediabetes to diabetes. It's not sudden changes and drop=offs, but all part of the same disease. For normal levels for each stage, see diabetes.Org. ...Read more

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Impaired glucose tolerance or gestational diabetes, what's the difference?

Impaired glucose tolerance or gestational diabetes, what's the difference?

Gestational diabetes: Is overt diabetes (hga1c 6.5 or higher, FBS 126 or more, post-prandial sugar > 200 anytime during pregnancy pre-diabetes id hga1c 5.7-6.4, FBS 100-125, ppg 140-199 2 hrs after eating, anytime, pregnant or not. ...Read more

Dr. Gutti Rao Dr. Rao
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How come patients with diabetes mellitus type 2 are insulin resistant?

Dr. Gutti Rao Dr. Rao
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How come patients with diabetes mellitus type 2 are insulin resistant?

Insulin resistance: In patients with type 2 dm , Insulin resistance is one of the factors in addition to decreasing Insulin production. There are what are called Insulin receptors in the cells that Insulin attaches itself for its action. These receptors are down regulated or less in number. Sometimes, increasing the dose of Insulin may not work always because of this reason. ...Read more

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Cause of elevations in proinsulin, c-peptides and proinsulin:c-peptide ratio, c reactive protein & ferritin. Normal A1c & glucose. Previously overwei?

Cause of elevations in proinsulin, c-peptides and proinsulin:c-peptide ratio, c reactive protein & ferritin. Normal A1c & glucose.  Previously overwei?

Can't answer: Nobody here can answer without your clinical history, though i wouldn't be surprised if you have hemochromatosis -- truth is, i hope you do, because it's the easiest of all the deadly diseases to manage. It's also worth remembering that serum ferritin is an acute phase reactant and likely to be high during some other illness. You're a person, not a set of labs. Insist on a full explanation. ...Read more

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Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Caution: Metformin is contraindicated as renal function declines. Glimepiride is ok, but all such agents are more potent as renal function falls since Insulin is metabolized by the kidney and Insulin levels may persist at a higher level with renal disease. Night time hypoglycemia is more common w/renal disease so monitor carefully. ...Read more

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Insulin doses needed for type 2 diabetes vs type 1?

Insulin doses needed for type 2 diabetes vs type 1?

Insulin: Both can be treated with insulin. In general, type 2 requires more Insulin than type 1 (due to Insulin resistance). ...Read more

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Omnipod insulin delivery system versus other insulin pumps, what's the difference?

Omnipod insulin delivery system versus other insulin pumps, what's the difference?

Patch pump: Hi. Omnipod is a "patch pump", meaning the pump attaches directly to your skin every 3 days, and there is no tubing attaching the pump to the infusion site like there is in traditional insulin pumps. There are plusses and minuses to both types of pumps, and neither type does anything for control you can't do with multiple daily injections using analog basal and bolus insulins. CGM is more vital. ...Read more

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Diabetics control of blood sugar differs from athletes vs non-athletes?

Diabetics control of blood sugar differs from athletes vs non-athletes?

Not really: Control means keeping the blood sugar normal. Athletes burn more calories and may be able to eat more and use less medication. ...Read more

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My glucose level high in spite of 60 u of lantus (insulin glargine) insulin 60u of novo rapid insulin 2000mg of metformin?

Reevaluate: You might need another agent and work with your dietician to formulate a doable eating plan as well as see your exercise specialist to develop a program for you. Also make sure the areas that you are injecting do not have scars, knots... ...Read more

Dr. Cayce Jehaimi
2,610 doctors shared insights

Glucose (Definition)

Glucose is the basic sugar molecule and the source of energy throughout the living kingdom. We are programmed to easily detect it by taste in our foods as it is desirable but can be overdone with the modern diet. It gets out of control ...Read more


Dr. Mohammed Parvez
73 doctors shared insights

Diabetic Ketoacidosis (Definition)

A serious diabetes complication where the body produces ...Read more