Doctor insights on:
Dka Vs Hhns Glucose
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 moreSee 1 more doctor answer
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
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
Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.
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 moreSee 1 more doctor answer
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?
What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?
Symptoms of ipoglycemia.Ogtt curve's "flat".Glycemia doesn't grow after 1-3 hours of glucose-juice.High basal insulin.Enough to suspect MODY diabetes?
Diabetes Diagnosis?: Need HbA1c. and family Hx. Such as do you have a twin or sib with MODY? ...Read more
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
Basal blood insuline= 38 mU/ml( normal range = 7-27). Basal glycemia = 82 ( 75-110). Is insuline value high or very high?Insulinoma or diabetes?thanks
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