Ask the Diabetic (possible TMI)

[QUOTE=MsWhatsit]
WeRSauron, you are correct, sir. Cyros, I’m glad I could help a little! Good luck with the test.

To elaborate and expand on lee’s explanation of Type 1 vs. Type 2 diabetes: type 1 diabetes is an auto-immune disease. The beta cells in the pancreas cease function because the body’s own immune system attacks them. The subsequent lack of insulin in the body leads to rapid illness, and then death, if insulin is not administered.

[QUOTE]

I have heard that a common virus triggers the initial auto immune reaction. This explains why the onset is at various times. I do not have a cite.

Now that’s just cruel! I’m hopeful that I’ll be able to keep it down now that morning sickness seems to be behind me. I have heard that several OBs in my city are now giving 20 jelly beans instead of the drink, and I must say that sounds much more pleasant than vomit-inducing sugar syrup. Too bad my OB ain’t one of them!

It is best chilled. It was a struggle to keep it down. I had orange. I do not think orange is a good choice.

Sorry for the delay. I moved back home unexpectedly yesterday.

Not exercise in the Jane Fonda/Tae Bo sense, but physical activity figures into my disease management, definitely. I live on a farm when I’m not at school, and I do 4-5 hours of heavy work every day – unloading hay, carrying milkers, wrestling calves, those sorts of things. When I’m at school, I do lots and lots of brisk walking because I don’t have a car and I’m too poor to afford a membership at the campus fitness center. ($125/semester?? We already have a $75 charge on our student bills for that . . .) My diabetic counselor is of the opinion that as long as I keep those physical activity levels up, a more organized program doesn’t need to happen unless I want it for cosmetic reasons. My blood pressure, cholesterol, weight blah-di-dah are all good, so there’s no concern on those fronts.

How does physical activity effect my blood sugar? It depends on what they are and what time of the year it is. If it’s humid out, and Wisconsin has six billion percent humidity for most of the summer, and being really active when it’s that humid makes my blood sugars plummet. Regular, moderate activity helps regulate my sugars, but I’ve discovered that I can’t do long-distance running. I was in cross-country for a while in high school, and my blood sugars would first go high while I was running and then would rapidly drop when I was done. It made me irritable and cranky and insufferable to live with, as wells as dizzy and nauseous, so Mom made me stop.

Short answer: Moderate, regular physical activity is good and helps regulate sugars. Unexpected activity (whether idleness or too much) make me go from highs to lows, respectively. As long as I can work the physical activity into my eating and insulin routine, then it has pretty much no effect. More food or less insulin when I’m going to be active and less food or more insulin when I’m going to be inactive.

I drink water. I’ve never been somewhere I couldn’t get water and I’ve never been told to drink anything but water. Some “diet drinks” actually contain some sugars (like ones sweetened with sugar alcohols), so you have to be really careful when reading labels.

Thanks for everybody answering the pregnancy questions. I’m beginning to think the seriousness of the situation was exaggerated by my parents. I suspect they had their reasons, though they were misguided in that reasoning.

The issues with diabetes that cause complications with small blood vessels also cause issues with the placenta that can affect your baby. One reason that insulin was not used to treat gestational diabetes originally was the fear that injected insulin was the culprit for these complications. However, now that testing has gone from one pee stick a day to as many blood tests as you like or can afford, control can be tight enough to avoid the worst of the complications. Control of blood sugar levels is a bit more difficult in pregnancy with the placenta pumping out hormones that affect insulin resistance and nutritional needs changing all the time.

Anecdotal report: my diabetic nurse at the UW was a type 1 diabetic, and had two very healthy (and very bright) children. They’re grown now, so she would have had them in the 70s or 80s, which is even before a lot of the innovations in home meters and so forth. So don’t stress, it is totally possible. The days of Steel Magnolia are long gone. :wink: She and I can both attest that not only can you avoid the worst of the complications, you can avoid all complications. Really.

I have a question for the OP: how did you handle low blood sugars when you were in primary and secondary school? Did you have to see the school nurse, or did you just pop some Lifesavers, or something? I’d also be interested to hear about how you manage your diet. During my pregnancy, particularly the second one, when I started out from day 1 on a highly regimented diet and an insulin treatment regime, I closely monitored carbohydrate intake. Is it the same for you or do you also have to consider fat and protein intake? Can you, say, eat a donut if you feel like it, and just shoot a bit extra Humalog to cover it?

My question is what led those of you with diabetes to get checked for it? What kind of symptoms plagued you?
If you were to consume a meal that contained high amounts of glucose do you feel ill?

I didn’t feel bad when I ate a lot of starches. I still don’t feel bad when my blood sugar is sky high, I only feel a bit lethargic. On the other hand, if I have low blood sugar, I know about it.

I have a very strong family history of diabetes, and I had gestational diabetes (which is sometimes an indication that regular diabetes will develop later on). I was losing a lot of weight for no good reason, and thirsty all the time. These are two of the classic diabetes warning signs. So I went to my doctor and asked to be tested for diabetes. Sure enough, I had it.

When I (or my teacher when I was younger) thought I was low, I’d go to the nurse’s office with a buddy and check my blood sugar. The buddy went back to class to tell the teacher if everything would be cool, and I’d eat up to 6 saltines with cheese or peanut butter and drink 4-6 ounces of orange juice. Lifesavers and gel frosting in a tube were forced on me when I was low enough to be sulky and stubborn. If I had an insulin reaction in class (unconsciousness, seizure, etc.) the teacher was authorized to take my glucagon and stab me in the butt with it. This never happened at school, though, and has only happened once.

I monitor carbohydrate intake and still sort of do the thing I did in kindergarten, which was eating by color. (Eating by color is basically a way to ensure that you eat enough vegetables. Green is always good, orange less so, red next, and then brown and white in limited quantities. Jell-o doesn’t count. It’s silly, but try explaining counting proteins and fats to someone who can’t add.) Until I was about 16, I monitored protein and fat, but then I switched to Humalog/Lantus and so to carb counting. For every ten carbs, I give myself 1 unit of Humalog, so the average meal is about 6-10 units. I can eat a donut if I feel like it and give myself extra Humalog, but I’d rather not since I’d get <whisper>fat</whisper> and then I’d be known as Miss Purl “The House of Butter” McKnittington.

Your anecdote? Completely rocks and makes me feel much better. Steel Magnolias gave me nightmares. Stupid movie, stupid Julia Roberts. :smiley:

I like others, have a family history of diabetes, which prompted our very good GP to test for it, when I had constant mood swings, felt generally like crap, and was rather lethargic a lot of the time.

Not particularly. I may feel slightly lethargic, but that’s nothing compared to how I feel if I don’t have enough carbs in my system.

I was barely four when the whole diagnosis thing happened, so I asked my dad. This is what he said:

So, there you have it, folks. I wet the bed, there was concern. Then I asked my mother and she gave a much more detailed description.

This sounds like it took a long time for them to figure it out, but it was probably only a week and a half between the time I started acting weird and the doctor visit. To be fair, Dad took longer to realize something was wrong because he was harvesting corn for other people and bartending at the same time, so he wasn’t home much.

Not a meal, since I count carbs at meals and give myself exactly the amount of insulin I need. But if I were to eat a lot of glucose without allowing for it, I get dry-mouth, shaky, find it hard to concentrate, and often find myself having hot flashes. Because of dehydration, I guess. If my blood sugar is high enough for long enough, I get cranky and irrational and have crying fits – if I ever wanted insta-PMS, all I’d have to do is eat a couple of crullers and a cappucino and then not move.

Sudden changes in blood sugar levels make me nauseous and dizzy and lows do the same thing. My usually symptoms for a low blood sugar are dizziness, shakiness, numb face, depression, and (once again) crying fits. I’ve always been a pretty upbeat person, and mood swings have been a good way to tell what my blood sugars are like. Being low for me is a lot like being that one step past a buzz when you’re drinking. I’m not especially fond of alcohol for that reason.

The symptoms were pretty obvious, if one knew what to look for. When visiting the States (we were living in Pakistan at the time), I’d have to urinate very often. I also downed large quantities of water. It came to the point that I could not sit through a movie without having to go to the washroom. In addition, I was loosing weight constantly without doing a thing (to the point a friend suggested I needed to be careful because it was becoming alarming). (I have a picture taken around that time wherein I alook almost skeletal.) My father, who has knows a thing or two about health stuff, began to suspect something when, while leaving Egypt for Pakistan, I drank an entire large bottle of water in one sitting after going to the washroom yet again. Practically everywhere we went, I had to go to the bathroom.

When we returned to Pakistan, I happened to nonchalantly mention to my father that I would wake up every night (sometimes more than once) to urinate and drink water. Within two days, my father took me to see a friend of his who was a general practitioner. They did the usual tests. Once my father’s friend saw the results, he had me admitted immediately to train me to take care of diabetes.

(My father handled this superbly. Even though he must have known what was going on, he didn’t let on that it was something serious or chronic. When I’d explain what was happening with my theory that more water in = more water out, and therefore nothing mysterious or odd, he’d nod and say nothing. When I asked what treatment there might be, he mentioned maybe a pill or something. At that point, I hated and dreaded and feared and loathed needles, so his answers were exactly what I needed. He stayed with me the week I was in the hospital. My family’s strength - to my face - greatly helped me to accept the fact and deal with it rather than freak out.)

(It is also my opinion that learning one’s child has such a chronic condition is extremely difficult to handle, cope with, and deal with. My personal awe and thanks to all parents who do their best.)

Everyone I see for diabetes tells me I was very, very lucky to have found out in the way I did. They say that too often people find out when they are rushed to the hospital for what, unbeknownst to them, was a diabetes-related occurence. This is also one reason why when anyone describes symptoms even vaguely related to hyperglycemia, I suggest having it checked out. Better be on the safe side.

Anecdotes related to the above: both my mother and sister found out they had diabetes by fluke. My sister was acting strange and exhibiting symptoms similar to mine above (but far more discreetly); my father became concerned and had me test her blood sugar level. (He made it seem like an event, a sort of “let’s have everyone in the family poked!” kind of thing, so she wouldn’t freak out.) Her level was elevated. Off they went to the doctor soon to have it checked out. Sure enough, she has type-1 diabetes.

My mother often refused to have her blood sugar level tested at home. Once, she consented. Her levels were elevated, she went - very reluctantly - to her doctor. Or this may be the first time she started seeing a doctor other than a gynecologist. Either way, she went and was found to have type-2 diabetes.

My father and brother also have had their levels checked a number of times: normal so far.

Because of this, if someone wants to have their blood sugar level tested (often such people are friends who want to see what it’s like), I preface it by explaining what normal levels (for people with unimpaired insulin functioning) are, and asking them if they really want to go ahead. Blood sugar level testing is a very, very serious matter to me.

WRS

I just wanted to say this thread is pretty helpful, a friend of mine has dietbetes and this is really helpful to understand more about it.
Now my question:
How often do you check your blood sugar? Do you always have to prick your finger, or is there some other way?

To give some completely unsolicited advice, you should talk to her about it. Everybody’s different, and no doubt she’d love to have someone who knows what’s going on if she has a low in public. Much better than a friend asking you, “Are you going to die???” No, probably not. Pass the OJ.

And I know it’s a typo, but dietbetes? I lurve it to distraction.

Um. I’m supposed to check it before every meal and before I go to bed. That’s at least four times a day. If I’m sick, then I add mid-morning and mid-afternoon in there too. Up to six times a day. In reality, I usually just check it three times a day: when I wake up, at supper, and before I go to bed.

Until recently, the only way you could check your blood sugar was by pricking your finger. Obviously, if you didn’t have fingers there were other ways. But until recently, you were kind of required to use your finger because of the amount of blood needed. Now, with glucometers that use less blood, you can use your forearm with the right cap on your finger-sticker-thing. Maybe you’ve seen the commercials with BB King for Lifescan OneTouch UltraSystem? I use the same meter, but I don’t use my forearm. I have arm hair and having blood matted into it is not sexy. I just rotate fingers and it’s not too bad unless I’ve been playing the guitar.

Researchers are also developing measuring devices that suck liquids out of your skin and then measure the glucose in that. It looks like a wristwatch, and, as noted earlier in the thread, are damned expensive.

blush I really shouldn’t post when I’m overtired; I didn’t even notice that in preview.

What accounts for the sudden weight loss and why doesn’t it happen to every person who has diabetes?

The reason for my question is that I was aquainted with 4 diabetics and only 1 had unexplained weight loss prior to diagnosis.

Does the type of diabetes account for this?

The sudden weight loss is because the body cannot get nutrition from carbohydrates. The body can still digest protiens and even break down its own muscles to get energy. If the person doesn’t rely on carbohydrates as much for calories then the weight loss won’t be as rapid. Also, other symptoms may come to their attention first, like the thirst and excess urination.

Oooohh! I have a question!!! Do you get lots of skin tags? If so how do you get rid of them. When I had gestational diabetes, I got loads and I was told they were associated with diabetes more than the pregnancy. I had not heard that before.

I’ve never had a skin tag in my entire life. I didn’t even know what they were until someone on the board mentioned them eons ago, and I’ve never heard of it being a problem with diabetics. I’m pretty sure none of my diabetic friends have ever had skin tags, either, since we’re a pretty TMI friendly bunch. (“Check out my bruise! It’s shaped like Buster freakin’ Keaton!”) That’s a really poor sample, though, since I only know two other diabetics that I’m on those terms with.

The only skin problems I have are sensitive skin and stress-induced eczema, which is a lovely genetic gift from my father. It’s sometimes brought on by having trouble with my blood sugars, but that’s more from me freaking out about them than the blood sugars themselves.

lee’s hit the weight loss thing on the head. Most other symptoms pop up before you have noticeable, unexplained weight loss. In my case, I went from a very active, independent four-year-old to a listless, clingy one. No weight loss at all.

What’s a skin tag? I’ve never heard of them before.

WRS