FROM OUR EXPERTS
I had a rather frightening experience recently. I wasn't scared at the time, but when I look back at it - I shiver.
I developed Type 2 diabetes after gaining 80 pounds on psychiatric medications. I have to admit, I do a poor job of maintaining a proper diet. There have been days lately when I had nothing to eat but sugary drinks and foods.
If you're not familiar with diabetes, it isn't just a matter of high blood sugar, it's a matter of high and low blood sugar. Eating makes your blood sugar go up. Time makes it go down. If you eat something that's all sugar and fat, your blood pressure may spike and then drop too low. That's what my self-indulgent diet has been doing to me.
A few days ago I spent my day eating red velvet cake and drinking Frappucino. An hour before bedtime I took my usual meds, which include three that can cause sleepiness and dizziness - Seroquel (quetiapine), Lamictal (lamotrigine) and trazodone. I also took my evening dose of metformin for dia...
David Mendosa recently posted a blog about " glycemic variability ." Most people have come to expect that their diabetes control is primarily evaluated by the hb A1C level. Indeed, the hb A1c is correlated with a three-month estimated average glucose level, which is very helpful to know in terms of the effectiveness in medical (insulin or oral) therapy. However, what is less often discussed is the importance of glycemic variability: the ups and downs of glucose values that occur naturally and as a result of medication. How does glycemic variability play a role in the management of diabetes? The latest information to date indicates that glycemic variability is extremely crucial in blood vessel inflammation and in physical/emotional well-being. The rate of those glucose excursions (highs and lows) profoundly effect how one feels emotionally, physically, and now cognitively, according to a recent article in Diabetes Care (a journal associated with the American Diabetes Association) .
Alternative Names Islet cell tumors; Islet of Langerhans tumor; Neuroendocrine tumors Symptoms Symptoms are caused by the hormone the tumor is producing. For example, insulinomas produce the hormone insulin, which helps the body lower blood sugar levels. Symptoms may include: Feeling tired or weak Shaking or sweating Headache Hunger Nervousness, anxiety, or feeling irritable Unclear thinking or feeling uneasy Double or blurry vision Fast or pounding heartbeat If your blood sugar gets too low, you may faint, have a seizure, or even go into a coma. Gastrinomas make the hormone gastrin, which helps the body manage stomach acid. Symptoms may include: Abdominal pain Diarrhea Ulcers in the stomach and small bowel Vomiting blood (occasionally) Glucagonomas make the hormone glucagon, which helps the body raise blood sugar levels. Symptoms can include: Diabetes (present in most of the patients) Inflamed mouth and tongue Crusty or scaly skin rash on the face, abdomen, buttocks, or feet - may be filled with clear flu...
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