Doctor insights on:
Glucose Intolerance Vs Diabetes
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
Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.
IGT and GDM: Hi. Impaired glucose tolerance (IGT) and gestational diabetes (GDM) both increase the risk of subsequent development of type 2 diabetes to pretty similar degrees. Both are indications for regular monitoring for the subsequent development of diabetes. Both are strong indications to adopt a healthy lifestyle (eat healthily and exercise regularly for life). ...Read more
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
Very different: Diabetes mellitus is the typical "diabetes" that we are familiar with. It's caused by an Insulin problem (too little or just not working well (resistance)) causing elevation in blood sugar. Diabetes insipidus is a water problem characterized by lots of urination and high sodium level. It's caused by an ADH (vasopressin) (antidiuretic hormone) problem (too little or just not working well). ...Read moreSee 1 more doctor answer
High sugar in type 1: Patients with type 1 diabetes have excessive urine production, excess thirst and weight loss. If they do not get placed on adequate insulin, they get dehydrated and have ketoacidosis (k) which will make them sick and have them present to a er. That's the diagnosis of type 1 diabetes k will be made and IV fluids and Insulin therapy will start to correct k and adjust their Insulin dose upward. ...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
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
One is real: Insulin resistance is where your body does not respond appropriately to the usual amount of insulin, generally in fat cells or muscle, but can occur anywhere. Most common cause is obesity and increasing age, plus infection, steroids, etc can make it worse acutely. Insulin intolerance is not a medical term. It seems to have been used occ by some lay groups, although nonsensibily. ...Read moreSee 1 more doctor answer
Insulin: If you have type 1 diabetes, you need insulin, which can be from injections or the pump that is placed inside you. Type 2 diabetes is from Insulin resistance and can be treated with oral medication and as that fails, you will need diabetes. The pump is an option, pancreatic transplants in certain candidates is another option. ...Read moreSee 1 more doctor answer
Indirectly: There is the failure of the pancrease (pancrelipase) to produce sufficient insulin, also involves the ability of the cell to "use" the insulin, the amount of gycogen converted to sugar by the liver, as well as the absorption of the sugar by digestive system. However, the more sugar you intake the more stress you place on these organs to do their work. Is the fire worse when you add gasoline ? ...Read moreSee 1 more doctor answer
Can be tricky: Glycemic index refers to the impact that food has on the blood sugar level. Some foods are absorbed very rapidly and raise the blood sugar rapidly (sugar, simple carbohydrates) while others have very low impact on blood sugar and thus a low glycemic index (meats, fat). There are some "sugars" promoted as low glycemic index, but this almost is contradictory. Moderation is the key with diabetes risk. ...Read more
Depends: What your level should be depends on when you took it. The ideal for your sugar before you eat in the morning is about 90. 2 hours after meals should be less than 120 and one hour after a meal should be 130. If you are talking about the screening for gestational diabetes (a one hour glucose tolerance test) then cut off is 130-140 for normal. ...Read moreSee 2 more doctor answers
Yes: Pregancy can trigger a type of diabetes called gestational diabetes. Normally is goes away after delivery. Try to keep your weight under control. If you have Insulin resistance try injecting in different sites: left arm right arm , stomach in different areas before increasin your dose. Speak to your doctor about this for advice. Diabetes is best comanaged by you and your health care provider. ...Read more
Increase blood sugar: Increase blood sugars is a side effect seen with niacin.( a dose-related effect). Close blood glucose monitoring is advised for diabetics/ potentially diabetic patients during treatment with niacin; adjustment of diet and/or antidiabetic therapy may be necessary. See your physician for evaluation and care. ...Read more
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