Dave, there is a condition known as Type 1.5 or LADA (latent autoimmune diabetes in adults). It is the type of diabetes that I seem to have been afflicted with although my "official" diagnosis remains T2 in the records at my Endo's office. However, in private conversations my Endo had with a pathologist (who happended to be a close persona friend), the Endo stated that I was "probably Type 1.5" based on two C-peptide tests (I never underwent formal testing for GAD antibodies).
Getting back on topic, emcarter, I can empathize with what you're going through. The best course of action is to test, test, test. A conventional glucose testing meter may not be adequate and a CGM (continuous glucose monitor) may be more appropriate. Keep a detailed journal of not just the results but your meals and snacks (times of day and portion sizes), your insulin doses, and virtually all activities to see if a pattern becomes evident. Sometimes seemingly random results can be tied to specific events if enough details are available. It will require patience as well as perseverance but can be achieved. Talk to your health care team about the possibility of purchasing or renting a CGM as a possible tool in your quest for answers.View Thread
jupiter21 replied "on the flip side, eat too much meat and dairy products and you end up with heart disease"026" That certainly expresses a "common wisdom" viewpoint. There are plenty of "studies" on both sides of the coin that argue this, both pro and con. The primary "monkey wrench" that challenges this belief are two-fold: dietary consumption of processed food products and sedentary ("sofa spud") lifestyles. Just read some of the less favorable reader reviews of Dr. Caldwell Esselstyn's book on Amazon.com to get a glimpse of the scope of this less-than-conclusive argument. Digestive health also has a significant bearing on outcomes and this "Eating Red Meat " article on the Mercola website definitely merits consideration before drawing "one-size-fits-all" finite conclusions. My own personal experience and scores of personal observations (not studies) seem to suggest that activity and exercise is perhaps the most important factor that will determine your overall health ... irrespective of whether you are vegetarian, carnivore, or omnivore.View Thread
Although there is a link between memory loss and diabetes, it normally is associated with age and the "elderly." It is not the length of time that a person has been diabetic but the frequency and duration that the person has been an UNcontrolled diabetic. See-saw or persistent high and low blood sugar levels can be a factor in memory impairment. Studies have already established that diabetes increases the risk for dementia and Alzheimer's. Your son really should discuss this matter with his physician (which he may refuse to do if he is in denial and refuses to believe that the events you described are attributable to him). There is also a growing number of medications that can also cause memory loss.
One class of medication that can cause memory loss are the statins (more common than most people realize). If he is taking a statin to "control" his cholesterol, he could be among those that can suffer from serious memory-associated problems [transient global amnesia (TGA)>. The FDA added warnings about statins being a risk or causative factor for both diabetes and memory loss (as reported by Reuters in early 2012). Big Pharma, of course, launched their own propaganda campaign to dispute this until Dr. Duane Grapeline (MD) cited his own experiences with transient global amnesia (TGA) while taking a statin drug (Lipitor). Dr. Grapeline is the author of Lipitor, Thief of Memory , The Statin Damage Crisis , Statin Drugs (and the Misguided War on cholesterol) , and other publications and his website is worth a visit.
You will need to investigate the matter further with your son's physician (his doctor won't necessarily discuss it with you directly due to confidentiality and liability factors but will accept your comments and concerns). Of course, you need to also be proactive and become better educated yourself such as: how well controlled is your son's diabetes? does he test his blood glucose level often on a daily basis? what medications does he take? what have been his A1c levels?, etc. etc. There are no simple, short-cut answers to your concerns but perhaps the above will provide you with someplace to start your quest.View Thread
Although this post is relatively old, I sensed a bit of confusion in some of the posts. For starters, oats do NOT contain gluten any more than bottled water contains cholesterol. The only way that oats and oat products can have any gluten in them is if they are contaminated during processing such as in a factory that also processes wheat and other gluten-containing grains. It is physical contamination from milling or blending these other grains that can cause the adulteration in oats. Any use of the term "gluten-free" on a package of oats is simply a marketing ploy designed to deceive and mislead, perhaps not unlike the convoluted overuse of the term "all natural" that, more often than not, is completely meaningless.
Jupiter21, the original poster, raised the question, "why does oatmeal raise my blood sugar?" The answer is a simple one" because it contains carbohydrate in an amount greater than your body can handle." PWDs tend to get stereotyped and are all treated as though beta cell output is the same in everyone. How often do we hear or read that to control your high blood sugars, "just lose a few pounds and exercise a little more" or "include more low-glycemic foods and whole grains in your diet." For some, weight reduction can result in improved insulin sensitivity. Bariatric surgery is one area of "medicine" that has mushroomed as a result despite its long term consequences and inherent risk factors (not to mention those who survive less than a year after their surgeries).
And what about selecting low-glycemic foods? Low-glycemic by definition only means that the food is ranked by the speed or rate at which its carbohydrate content is converted into glucose in the body compared to and using pure glucose (GI=100) as the yardstick. The GI of oats is 55 and, as Flute pointed out, a quarter cup (dry) serving contains approximately 29 grams of carbs. Add additional companion "additives" such as fruit, milk, etc. and the carb content can easily exceed 50 grams of carb (far more than I am able to handle without injecting additional insulin in order to maintain my A1c of 5.0 or lower; currently 4.9). In contrast, Pizza Hut's Supreme Pizza has a much lower GI ranking (GI=36). A single slice also contains approximately the same amount of carbs as the oatmeal. Yet none of us, except perhaps our teenage offspring, would select the pizza as a better meal choice for PWDs than the oatmeal. Virtually all carbohydrates convert to glucose (even most types of fiber except cellulose). Some types of carbs may just take longer compared to others. I won't even start on the convoluted misconception and lies being promoted on "whole grains" since 99% of them are not consumed as "whole" grains but as milled and processed food products that virtually destroys most of their benefits.
BTW Michelle, I didn't interpret Flute's remarks as frustration at all. Just "amazement" at how so many diabetics still continue to abuse their diets and then wonder why their blood sugars are so far out of whack.View Thread
Bruno had posted (since removed by the thought police): "Can anyone explain to me why we, as a society, insist on treating "symptoms" while not practicing "prevention"? A diabetic not maintaining a proper diet and daily exercise is like adding oil to a car that has a black puddle, underneath! It's not safe! It's not reasonable! It's not responsible! Heck, it's downright stupid..."
Bruno, yours was a thought-provoking post and it's unfortunate that it was censored. With the exception of an intolerant few, I think most forum visitors would have derived some benefit from reading that post. To respond to your question, it's really all about m-on-e-y and g-r-e-e-d. For acute diseases and ailments, the medical and drug establishments have done a superb job in providing therapies that truly healed or cured their maladies. If you had an infection or suffered an injury such as a broken leg, you were appropriately treated and the ailment would be cured or healed within a reasonable period of time. For chronic diseases, the medical establishment has enjoyed far less success. This excerpt, from the introduction to The Disease Delusion by Dr. Jeffrey S. Bland, states it better than I can:
"As we spend more and more for health care, we get less and less. The United States has worse health-care outcomes and lower life expectancy than almost every other developed nation. Heart disease, diabetes, cancer, autoimmune diseases, digestive disorders, dementia, allergies, asthma, arthritis, depression, attention deficit disorder, autism, Parkinson's disease, hormonal problems like early puberty and infertility—these and more cause endless suffering and drain our financial resources. Chronic diseases now affect one in two Americans and account for 80 percent of our health-care costs. Yet despite a host of new drugs and procedures, the incidence of chronic disease continues to rise, not only in the United States but around the globe as developing countries adopt the worst of our food and culture.
As for our society as a whole, Flute hit the nail on the head when she mentioned that patients fall into one of two groups: proactive or reactive. Unfortunately, the vast majority of us fall into the reactive classification and refuse to follow commonsense protocols for a healthier lifestyle. Big Pharma and the medical establishment offer treatments that suppress acute symptoms but fail to even remotely heal, cure or even address the underlying cause. The modus operandi of Big Pharma seems to focus solely on hooking patients on a cycle of endless prescription refills and, if that isn't possible, the drug will either probably never see the light of day or will, at the very least, be tossed into the oblivion of the back burner.
Sorry to hear about your nephew. The prognosis for his condition is not optimistic. I would recommend that he heed the advice given by Patrick Quillin in his book, Beating Cancer with Nutrition: Optimal Nutrition Can Improve Outcome in Medically-Treated Cancer Patients. The book is NOT about alternative cancer therapy but just makes recommendations for nutritional approaches to complement and enhance conventional "cut, poison & burn" therapies; probably not unlike those now employed by many of the more successful cancer clinics in terms of the improvements they achieve in patient outcomes.
boudica45, you have already received some sound advice from members who have responded to your thread. Diabetes itself is a dysfunction in metabolism and fatigue can be a common componen. It is important to discuss this with your doctor to rule out other causes but make sure that you receive proper nutrition and lots of exercise (it doesn't have to be at a gym; just increased movement & activity). Also, lay off the caffeine pills; they increase insulin resistance. Test your blood sugars frequently and try to stay within truly normal ranges. Although you state that your meds are already "working pretty good," your results may still not be normal.View Thread
Lantus is a long-acting basal (background) insulin that is normally used to "stabilize" your blood sugar levels. It does not lower them rapidly. Only a bolus (mealtime) insulin will do that. Glucotrol (glipizide) is a sulfonylurea drug and stimulates the pancreas (beta cells) to increase its secretion of insulin. However, depending upon how much beta cell function you have left, your results are going to vary initially until you are able to adjust timing, dosage, and diet for optimum results.
It is important to follow your doctor's instructions precisely, test your blood glucose levels frequently, eliminate starches and sugars (and lots of other "no-no" foods) from your diet, keep a log or written record of the results, and evaluate everything with your physician at your next appointment. It is not possible to accurately predict how much or how soon your blood sugars will go down since these medications (including the Lantus) are new to your body. DO, however, establish a goal or timetable in consultation with your doctor so that if you do not achieve desired levels within that period, reevaluating your dosages or switching to other meds may be required.View Thread
The questions that you raise should best be discussed with a competent physician that is up-to-date on the latest research studies. Having said that, far too many doctors are still rooted to the older A1c recommendations made by the A.D.A. However, the A.D.A. has since qualified its recommendation of under 7.0 (which far too many patients as well as their medical providers misinterpret as being equal to 7.0) and now recommends an A1c of under 6.0if there is no danger of lows. If you don't want to wade through a 56-page document to determine what the A.D.A.'s 2013 Standards of Care" are, the University of California extracted it into a simple chart that can be downloaded at this link . To answer your question more directly, the lower your A1c is to normal, the better your health with be from the standpoint of developing "complications" in the future. My own yardstick is embodied in my avatar but it is shared by those who responded to a poll of PWDs who were over the age of 60, had been diabetic for ten years or more, maintained an A1c in the 5% club, and did not have any known complications. Of course, a much smaller percentage of respondents did have A1c's in the low 6% range who also did not have any known complications but they were in the minority.
A lot of medications can affect blood glucose levels. Blood pressure medication, in particular, can elevate your blood glucose levels; especially beta blockers such as metoprolol tartrate. If you're taking sulfonylurea medication or are on insulin, beta blockers may also mask tachycardia that often occurs with hypoglycemia. This would be considered an adverse effect since it could make a patient less hypo-aware.
Neuropathy can have a number of different causes and leading a sedentary lifestyle can be a significant contributing factor. In my own personal case, it was caused by elevated blood glucose levels and when I lowered mine to normal ranged (A1c 4.8 to 4.9), my neuropopathy (at least the symptoms) reversed within three months.
Dave provided you with some sensible advice. "If your current doctor cannot help you, then you may need to find a new one." View Thread
That is a fairly well-documented side effect of HCTZ. Less certain is whether you can say that it actually "causes" diabetes. Perhaps it can serve as a sort of catalyst in those who already possess a tendency towards diabetes anyway (i.e., HCTZ can be the straw that broke the camel's back).
HCTZ is just a diuretic. Ask your doctor for an alternative to HCTZ to resolve the problem with the medication elevating your blood sugar levels.View Thread