Pt is a borderline DM type 2, gets dehydrated, has a reaction to MSG at same time and is pushed over into NIDDM with a hyperosmolar 600mg blood glucose.
210088
well,there is NO co-relation between D.M & dehydration,here is the causes of NIDDM:\n*Genetic factors,usually polygenic,form disease background in a prevailing number of patients.Environmental factors like obesity,lack of exercise and sedentary lifestyle sometimes lead to insulin resistance.Insulin resistance means that body cells do not respond appropriately when insulin is present.\n*Other important contributing factors:\n-increased hepatic glucose production (eg, from protein degradation).\n-decreased insulin-mediated glucose transport in muscle and adipose tissues (receptor and post-receptor defects).\n-impaired beta-cell function - loss of early phase of insulin release in response to hyperglycemic stimuli.
233858
You and she are in my prayers.  I had a really awesome best friend who went into a diabetic coma in her sleep (she was type I DM) a few years ago and never came to.  I know the feelings you are experiencing and only God can comfort those who suffer because He truly knows their hearts and what is going on.  I pray you are able to find comfort =)
280376
It is difficult to answer this question, as more information is needed...BUT :\nEpisodes of hypoglycaemia can cause large sympathetic outflow, which can sometimes cause people to lose control of their bowels (and bladder). But this would be fairly obvious, as it would always be after a clinical episode of hypoglycaemia.\nInfections can wreak havoc with glucose control, and urinary tract infections can certainly present with tremors and incontinence. Worth checking out. Diabetes makes one more susceptible to infections in general - any signs of skin, foot, lung etc infections?\nIf his diabetes is secondary to chronic pancreatitis, lack of pancreatic enzymes may cause voluminous foul stools, and potentially incontinence (but not urinary incontinence).\nIs there any concerns about dementia, Normal Pressure Hydrocephalus  or Parkinson's disease? \nAny back problems, trauma or spinal compressive symptoms?
353869
yeah i have no idea where you get 7.2. but you won't read this if your sugar is 7.2 right now.  Normal reading is 70-110.  This can fluctuate from stress like surgery or exercise (either up or down) and from food.   Your doctor can administer the oral glucose tolerance test, test a fasting sugar, and draw a HbA1c with is the average of the last 3 months of blood sugars.  In fact that 7.2 sounds more like that test.  If you are diabetic, you will start to see excessive eating, this due to your bodys cells telling you that they have glucose to process because it is all in you bloodstream and is unable to get into the cells due to lack of insulin.  Excessive urination, from your body's safety mechanism for purging glucose from the body throught the kidneys along with ketones when the sugar gets really high.  Finally excessive drinking, from being dehydrated from all the urination, also it lowers the bodys pH from ketosis. (ketones in blood).  For your last question about the speed of sugar entering the bloodstream, sugar and carbs entering the blood stream is delayed or slowed by anything that takes longer to digest (fats or protein) For example, a bag of skittles would raise you blood sugar faster than that chocolate.
603517
Please do not take this response as the 'right' response. I am going to assume you are talking type 2. My 2 year old is a type 1 so things are a little different but when it comes to BG we all want the same target #'s: 80-120 is perfect. My son uses Humalog insulin which is fast acting but takes three hours to have its full affect. I am not sure what meds/insulin you are using but I am assuming that the reaction time is going to make a huge difference. \n\nThis website (the ADA) has been a godsend for us: http://www.diabetes.org/about-diabetes.jsp\nthis link will take you right to the begining and will explain a lot. There are also message boards for every type of diabetic and they are great support systems. It is nice to talk w/ someone who knows just what you are going through.
254872
Most Dr. say the avarage should run between 80 to 180 if you are below 80 you get what my family calls weak trembles. (Eat a small spoon of sugar to get it up quick then eat a meal, sandwhich, fruit and veg) If you get above 180 you are too high best thing to do then is to drink lots of water, and take your insulin which your Dr. should have set your amounts at and eat a small orange or something so you don't drop to far. Diabietes is very tricky. My oldest has had it from the time she was 10, she is 22 now. My daughter wants me to add when you are high drink 8 oz glasses of water every 30 min. It also depends on your Dr as what your blood sugars are. Type 1 and Type 2 carry different sugar levels.
369919
This diagnosis will change his life and your support is going to mean much to him!  Type II diabeties simply means that his body(pancress) is producing insulin but for some reason his cells are unable to access it. He may progress to Type I or not it all depends on his genes and how he handles himself and his diet over the next few years.  If he does well he may well never devlope Type I. Nobody really knows but we do know that good care, compliance with diet, exersize and medication regmine will stall progression into Type I.  This is the goal of those of us with Type II a cure could be tomorrow or years away and we need to be in the best shape possible to take atvantage of it.  It is  in many ways up to us,the support of family and friends only makes this easier.\n\nFirst he is a diabetic not china, he can do everything he did before except his diet will probably change, he will monitor his blood sugar several times a day and will be on medication.\n\nYou can't be his mother or his doctor but it probably would not be best to take him on a pastry or drinking binge.  But the odd drink or desert can be a part of his life if properly planned into his diet.  One of the best things a friend can do is help him find a sence of ballence, he's 19 and he is going to feel like a patient for a while during the time it takes to figure out how to live well with this disease.  He needs friends who will let him be him not a piece of china, if you played football together go ahead and tackle him, he needs to feel normal a good friend can play that role beautifully.\n\nGod Bless you for being such a good friend!
279334
variation will occur because with increase in the increase in diuresis the glucose level in the body falls as is the case with diabetes patients.
228457
I was just recently diagnosed with diabetes also. I was told to keep well balanced diet....Just watch the amount I intake... I am new very new to this and scared as &*%^ due to all the health risks associated with diabetes....I have been in the hospital for a few days and have been given meat, cheese egg,, and milk,, as wellas bread and fruit,,,, But I am still trying to get my level down ,,,
27598
It means that you are borderline diabetic. My guess is that you may be gaining weight (don't feel bad I gained weight and became hypoglycemic as well) or are overweight and that has caused your pancreas to start slowing its production of insulin because of having to overproduce it for so long. Take the weight off and you should be fine depending on how overweight you are. But if it's genetic, hmm you can try to watch what you eat by limiting carbs, sugars, and portions. Eat more fruits and vegetables (provided they are fruits low in sugar and small in size). If you start get several urinary tract infections that really means you are getting into diabetes.
475668
I assume you mean Type II Diabetes (unless you're young).\n\nThe symptoms of Type II often take a long time to appear and you can feel well with the condition for a while.\n\nThe classic symptoms are; passing water often, being thirsty often,  being hungry often and loosing weight. It might also present as blurred vision or a loss of sensation in the extremities.\n\nhttp://www.emedicine.com/med/topic547.htm
395397
this could be a first sign of diabetes\n\na heathly diet, good exercise, and if necessary some mediacation can help to control blood sugar
172393
Hello! I am so glad I saw your post I feel your pain. I had the same problem and I have to be very careful. My seizures(not to scare you became more frequent for me ) they occurred around "that time of the month" and when I was under great deals of stress they occurred. I had to quit one job I had because of it. I also had to cut my hours back BEFORE I quit the job. I was working 10 hour days and the doctor said "no more" \n\nYou are probably hypoglycemic. I am. What I do, is I carry candy in my purse. The Bob's peppermints are excellent, they are pure sugar or carry the tubes of glucose, or the glucose pills. Don't go eating big meals. You need to eat smaller and balanced meals. Don't go eating a lot of carbs and a lot of protein. You have to balance them one neutralizes the other. The only time you should eat candy is if you need it, if you feel the symptoms of a seizure. \nPeanut butter crackers are a great snack, I find that they keep my blood sugar balanced. I usually have a few peanut butter crackers and about 4 oz of low sugar fruit juice for a quick snack. \n\nYour doctor will probably order a glucose tolerance test for you. OH PAIN THE A#$ . It is six hours long. They poke you once every hour and they make you pee in a cup at that time too. Before they draw the blood, you have to drink this really sweet bottle of pop. It tastes like orange or grape flavored carbonated corn syrup. I drank it and almost fainted which is an expected side effect sometimes. \n\nTHey are looking for diabetes, well I was found to be hypoglycemic. The doctor showed me the chart I started at 98 as fasting . It rose to 150 and dropped all the way down to 52. No wonder I was drooling all over myself . The lady at the lab made me go to another room and she had me go to sleep. \n\nYou need to follow your doctor's orders and you basically treat it the same way you do diabetes if hypoglycemia is your case. It is the same diet, you treat the seizures the same. What happens is as a hypoglycemic we produce our own insulin and we react as if we injected to much into our body. \n\nAs long as you follow the diet, don't get stressed out at least not too much and listen to your doctor, the seizures will be controlled. The doctor will properly educate you on that. If you sit and worry about whether or not it is going to happen , it will happen. BELIEVE ME> I used to be SO PARANOID. I didn't realize it, but I had talked myself into having a seizure because I was so worried about whether I was going to have one again\n\nThe big thing DON'T EVER EVERY SKIP A MEAL. Eat breakfast before you leave for work. \n\nJust make sure you are properly educated . It is no different than being a diabetic . ;)\n\nIf you need anything else let me know I will be more than happy to help you. Good luck to you. \nDon't worry about it.\n\nYour number one key....control it, don't let it control you. That was my mistake and it came from fear and worry .
492690
Go see a doctor. It could be some serious conditions that may result in damage to your body. Don't take a chance. Below are the two most likely. Take care of yourself.\n\n\n\nDiabetic Ketoacidosis signs may refer to those signs only noticable by a doctor: \n\nNausea \nVomiting \nBreath odor \nSweet-smelling fruity acetone breath \nBreathing difficulty \nRapid Pulse \nRapid breathing \nAbdominal pain - usually in children \nDrowsiness \nConfusion \nComa \n\n\n\nKetoacidosis is a type of metabolic acidosis which is caused by high concentrations of keto acids, formed by the deamination of amino acids. This is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Ketoacidosis should not be confused with ketosis, which is one of the body's normal processes for the metabolism of body fat. In ketoacidosis, the accumulation of keto acids is so severe that the pH of the blood is thrown off.\n\nIn diabetic patients, ketoacidosis is usually accompanied by dehydration, hyperglycemia, and insulin deficiency. Since insulin is required to utilize glucose, lack of insulin means the body cannot utilize glucose and causes an energy crisis and the body goes to extremes to produce more glucose and also provide ketone bodies for energy. Glucose accumulates to the point that the kidney must use water to spill it into the urine, losing that water and causing dehydration in the process. The dehydration exacerbates the acidosis in a vicious cycle.\n\nAlcoholic ketoacidosis is also an energy crisis but of different origin. Because alcohol causes dehydration and blocks the first step of gluconeogenesis, the body is unable to synthesize enough glucose to meet its needs, thus the energy crisis begins.\n\nThe acidity results from the dissociation of the H+ ion at physiological pH of metabolic ketone bodies such as acetoacetate, and β-hydroxybutyrate, produced from ketogenesis and its concentration is increased by dehydration.\n\nSome diets (such as the Atkins diet) are reported to induce a mild-to-moderate state of ketosis, but this does not result in ketoacidosis if the dieter drinks an appropriate amount of water. Any diet which burns fat molecules at a significant rate results in an increased production of ketone bodies.\n\nGenerally, ketosis is well-regulated by the milieu of hormones governing the fasting and fed states, predominantly glucagon and insulin, and dieting (in an otherwise healthy person) is too mild to lead to acidosis. Before the recent abundant and sedentary lifestyles, it was probably normal for most humans to spend some of each year in ketosis, due to seasonal or temporary carbohydrate and/or calorie shortages. Unlike ketoacidosis, for most of human history, ketosis has been a normal condition and an essential capability.\n\nKetoacidosis occurs in two very different situations-- in type 1 diabetes (diabetic ketoacidosis) and in alcohol withdrawal (alcoholic ketoacidosis). The ultimate reason for ketoacidosis in both cases is the same: the cell does not have enough glucose (in the case of diabetes because lack of insulin prevents the cell from taking up glucose, in the case of starvation because there is less glucose around), so it begins metabolizing fat molecules instead of simple sugars. As a result of this metabolic change, acetyl-CoA is mainly produced from the breakdown of fatty acids and fed into the citric acid cycle. The intermediates of the citric acid cycle are used for other anabolic purposes as well and have to be replenished. Normally, this is done by converting pyruvate into oxaloacetate or L-malate (the so-called anaplerotic pathways). But pyruvate is the end product of glycolysis, the breakdown of glucose, and glucose levels are lower in the cases we consider. This means that the citric acid cycle intermediates cannot be replenished, the cycle slows down, acetyl-CoA accumulates and ketogenesis becomes more impor
501899
I'm with the guy who thinks it's diabetes. Have your blood sugar tested asap. If you find out that you are, there's plenty you can do to help yourself....\nhttp://www.geocities.com/seabulls69/Type_II_Diabetes.html
649158
If you haven't already, please take her to the hospital.  This sounds like she may have a gastrointestinal bleed, like from an ulcer.  I doubt it's diabetes related.  But if she continues to lose fluids this way she can go into metabolic acidosis.  Not to scare you, but this can lead to seizures, coma, or different heart arrhythmias (ventricular tachycardia - very serious, deadly).  Please seek medical attention now.
514796
Actually next time you go to the doctor discuss the possibility of being hypoglycemic. This is when shortly after you eat the levels of sugar shoot right through the roof. After your body digests the food then is drops below. \nYou can talk to the doctor, about how to eat ,what to eat, many people become hyperglosimic before being diabetic.