Doctor insights on:
Link Insulin Resistance Vision
Not by itself: The strongest link is between elevated or fluctuating blood sugars and blurred vision. Unstable blood sugars cause fluid shifts in the eye's lens which in turn causes vision instability. Prolonged high blood sugar can cause damage to the small blood vessels in the film layer (retina), which can lead to permanent vision loss. ...Read moreSee 1 more doctor answer
Insulin resistance is a state in which a given concentration of insulin produces a less-than-expected lowering of blood sugar. This results from obesity and often causes higher blood sugar levels. The early stage of Insulin resistance, known as impaired fasting glucose (IFG) or prediabetes, is potentially reversible with significant weight loss (at least 7 percent). However, without weight loss, Type 2 Diabetes generally results, often causing severe damage to arteries and ...Read more
Glycemia:basal=85,post-prandial=70(tremors+dizziness),random=95.Basal insulin=38(normal <27). Why insulin decreases after meals?Insulinoma?diabetes?
Diabetes: See your physician to get a definitive diaganosis ...Read more
My glucose level high in spite of 60 u of lantus (insulin glargine) insulin 60u of novo rapid insulin 2000mg of metformin?
Can gastro problems cause disturbance to blood sugar. Insulin resistant & increased challenge to reg/stabilize BG levels- related?
Gi problems: In my experience gastrointestinal disorders per se rarely cause significant swings in blood sugar except in dumping syndrome where foods are abnormally and too swiftly emptied out of the stomach into the small intestine causing sweats and metabolic alterations. Gastroparesis where the stomach empties too slowly causes gastric upset rather than major swings in blood sugar. Other MD's may disagree. ...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
What's the difference between insulin resistance and diabetes? Can someone who has insulin resistance not have diabetes?
Beta cells: Many people have Insulin resistance. Most obese people are Insulin resistant, as well as a lot of normal weight people, especially if you have a family hist of diabetes. However, many are not diabetic because their pancreatic b-cells make up for it by making lots of insulin. T2 diabetes occurs when that compensatory b-cell surge in Insulin resistant people starts to wane. ...Read more
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
Muscle wasting, eating plenty,insulin resist. pancreatic beta cell dysfunction fructosamine and post prandial high, insulin level @2 what does it mean?
Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3 , A1c 9.7 cannot do more excercise due to arthralgia and oa chages ?
WEIGHT LOSS CRUCIAL: WEIGHT LOSS IS CRUCIAL : I recommend a gluten free diet &WHOLEAPPROACH.COM/GUTBLISS.COM. If you have any sleep issues I would recommend as sleep study, there is a high overlap of sleep apnea and diabetes. Also I use Topamax (topiramate) in the evening for my diabetic patients it help with sleep/weight loss & improves insulin receptor sensitivity. ...Read moreSee 2 more doctor answers
Congratulations: Great move. Well, NovoLog is quicker acting but also quicker getting out of your system. So make sure you eat as soon as you inject. As with any insulin, proper close titration is necessary to avoid hypoglycemia and wild fluctuations in your sugar levels. Overall, best short acting Insulin on the market at present, and the most physiologic. ...Read more
Not really: It is not Insulin resistance that causes kidney disease but instead poorly controlled diabetes. The most common causes of kidney failure in the us are diabetes, high blood pressure, and age. Many patients with Insulin resistance have difficult to control diabetes and thus are more likely to be poorly controlled and therefore more likely to develop kidney disease. ...Read more
Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.
Insulin 64 after high carbs and glucose 54 & hypokalemia. I'm hypokalemic PP diagnosed but wonder if congenital hyperinsulin can cause low potassium?
Insulin and carbs: Rachel, I wish I could help you but your comments are unclear. What do you mean by "insulin 64" and glucose 54? Have you been told that you have "congenital hyper-insulin"? In that case your doctor would have referred you to a surgeon. If you can, please give me some more information. ...Read more
Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.
Lantus (insulin glargine) dose: Hi. I applaud you for your healthy lifestyle and dedication to tight diabetes control. Finding the right Lantus (insulin glargine) dose can be trickier than people think, especially for an active type 1. I was on Lantus (insulin glargine) for about 6 years before going on CGM in 2006. CGM is THE perfect way to find the right Lantus (insulin glargine) dose, but not everyone uses CGM yet. Do you? My guess is no, or you'd have dialed in the right Lant dose ...Read moreSee 1 more doctor answer
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
Lantus (insulin glargine): I am assuming that your insulin injections have been started not long ago. Injections should not cause weight gain but there is a more important issue. Type 2 diabetes can and should be corrected such that you no longer have diabetes. Insulin injections should not cause weight gain. With that in mind, talk to your doctor about diabetes and also have a dietitian help you with your weight. ...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
When one takes a drug, such as heroin or alcohol, repeatedly, 'tolerance' develops because more of the drug is needed to give the same effect on the body/brain; e.g. Liver enzymes r stimulated to metabolize the drug faster and faster. There may be a strong genetic predisposition to addiction, some studies suggesting that 1 of 10 people will become dependent on alcohol or some ...Read more
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