Doubts
12/13/2010 7:49 a.m.
Hello again:
Although I have a time with another specialist tomorrow, I do not resist raising more and more and more doubts that arise day by day.
One of them is why if I have been taking Dianben for a month, he keeps feeling fatal.Nor do I understand why they continue to give me very frequent hypoglycemia.The last time I was prepared with my fruit juice with sugary milk and when I noticed the downturn I took it and effectively, soon I was much better, but as at the time it gave me another re-base, and I was more baffled, becauseThis had never happened to me.
Another question: How is one diagnostic if you have diabetes one or two?Are the symptoms the same?
I hope the appointment with this doctor is more informative than the previous one.
Greetings and thanks.
12/13/2010 7:49 a.m.
The only medication you take for the treatment of DM2 is Dianben?PQ as I understand the Dianben in case it only does not produce hypoglycemia, it may be the combination with other medications ...
Regarding the diagnosis of the DM1 and DM2 there are some profiles (age, physical complexion, ...) that are those that are usually used even if you do not have to be completely within those profiles to suffer one type or another.
The DM1 (also called: Child Diabetes, Insulin Dependent Diabetes, Autoimmune Diabetes, ...) It is usually given in children and young people (usually under 30 years old) and their treatment (apart from the diet) is with insulin from the first moment.
DM2 is usually given in older people (normally overweight but not always) and their treatment (apart from the diet) can be from taking some loose oral antidiabetic, taking some combination of oral antidiabetics, taking insulin, a little of everythingPrevious ... over time most of those who have DM2 usually end up having insulin dependence, but it is not from the first moment.
The symptoms can be said that they are the same but the beginning is much faster with the DM1, with the DM2 the blood glucose levels are slowly crossed out, DM2 can be suffering for years and not knowing it.A type 1 diabetic from the moment the disease begins until it is diagnosed does not spend much time, a month or a month and a half and is entering through a hospital.
Complications can be said that they are also the same.
In fine ... the theme of the diagnosis of diabetes, the types, etc ... gives a lot ... especially because now it seems that there is also another group: autoimmune diabetes in adults (lada), not counting gestational diabetesand others that are rarely.
12/13/2010 9:46 a.m.
Do you take the Dianben after meals?
I think we were already talking in another post, that Dianben does not give hypos ... so it is essential and advisable that you go to a doctor and review your situation completely.
Diagnosis Type1 Diabetes:
4p: polyuria, polydipsia, polyphia and lost weight
If there are doubts, peptide C
And if there are more doubts: antibodies
12/15/2010 3:09 p.m.
Hello again and thanks for your answers.
Last Tuesday I went to another endocrine, as I had already commented.
He told me that the cause of my hypoglycemia was Dianben, because this medicine reduces insulin resistance, and this causes glucose to fall.That was his explanation.The previous endocrine and in this Owash forum they told me that I did not produce hypoglycemia.Anyway, I did not tolerate the happy Dianben, because a month after taking it and when I started with two newspapers, the nausea lasted me the full day.And that taking it after meals.
This endocrine told me that the answer to insulin is still good and that with a diet I would not need to take Dianben, so I started with the diet and stopped taking it.The truth is that although I have only lost a few days (even more) and I have put myself in 42.7 kilos, with which my husband is starting to worry seriously, but I imagine that then I will stabilize.He has also told me to make me self -analysis every eight days before each meal, which I have started to do today and I go great because I was 91mg/dl on an empty stomach.
As for what Owash tells me that is typical of diabetes 1, I have polyphia, polyphia (I have a tremendous appetite) and weight loss, but I am not very thirst.Let's say that sometimes they give me "thirst attacks", but it's not continuous.
When to the peptide-C, I am at 1.92ng/ml and antibodies: 4.19%, which should mean that I am fine, and apparently I have no diabetes 1.
HYPOLGUEMIAS I still have, although less intense, because with this diet as five times a day.Although my bad moment still loves with the same cadence.
I already explained to the endocrine that hypoglycemia gave me before and after taking the Dianben, but I begin to suspect that these specialists are going to a fixed piñón and do not listen too much what we tell them.
Anyway, I feel the roll I have put, and I say goodbye, because my baby has just woke up from his morning nap.
A kiss to all.
12/19/2010 5:46 a.m.
You have not said the age you have and how long you have been with the issue of diabetes but well ... if your current diabetes treatment is reduced only to Dianben, you have C peptide values that can be considered normal (between 0.5 ng/ml and 2.0 ng/ml are normal values although these values can vary a bit depending on the author that is consulted) and on an emptynoAuthor's function that is consulted) It can be said that you clearly have its diabetes of your diabetes, the doubt in any case could be if it is type 2 diabetes or it is autoimmune diabetes in adults (lada).
Dianben (metformin) in principle does not produce hypoglycemia but if a higher dose is taken than nausea, vomiting and could in some rare cases produce hypoglycemia, I say so that you have said your weight (42.7 kg) andIt seems very little weight (unless you measure very little) and maybe this is what is happening to you, the current dose may be higher than what you need.
When you have a consultation again, comment on the issue of weight and the issue of the dianben dose and have your own insulin do not cut yourself in eating and drinking things to get out of hypoglycemia and more without having a problem of overweight, quite the opposite.
Edito:
I do not want to sit Chair of any kind and less with the issue of normal peptide values C PQ it seems that there is no consensus in which values are normal, some authors say that between 0.5 ng/ml and 2.0 ng/ml, other authors say that among1.1 ng/ml and 5.0 ng/ml and other authors speak of 0.9 ng/ml to 4.0 ng/ml ... come on ... that nobody agrees on this issue.
12/19/2010 7:19 a.m.
is that if you have hypoglycemia with that peptide value C is a very rare thing ....:-/
Making a diet does not mean that it has to be hypocaloric (low in calories) normally between 1400 and 1800 calories daily we move most people
Mariluna, is there in your hospital in diabetes educator?The same can advise you better than the endocrine.
12/22/2010 1:27 p.m.
Speaking of debuts and types of diabetes, count mine, which is complicated:
In the year 2005 I did analysis and the fasting glucose came out a little above 120 (I do not remember the figure but must have been something like 129, for example).Therefore, they made me a glycemia curve and I had:
Basal glucose --- 113
glucose at 30 minutes --- 203
glucose at 60 minutes --- 219
glucose at 120 minutes ---63
Then, the endocrine told me that I had prediabetes.
The following year ( 2006 ) they did the same test to see how it was and the results were
Basal glucose --- 93
glucose at 30 minutes --- 218
Glucose at 60 minutes --- 178
glucose at 120 minutes - -128
In 2008 , repeat again
Basal glucose --- 104
glucose at 30 minutes --- 199
glucose at 60 minutes --- 156
glucose at 120 minutes - -114
And in the 2009 , without having weight loss or polyphia, I debuted with
Basal serum glucose ------ 264
Hemoglobin A1c ------ 9'60
C. ketone ---- 10 mg/ dl
By doing the specific DM Di tests
Peptide C in serum 1'7
Peptide C in serum 3 minutes --- 1.8
Peptide C in serum 6 minutes - 2
peptide C in serum 15 minutes-- 2
Steer C peptide 30 minutes-1´8
GAD/ 64K Suero & GT antibodies; 30 U/ ml
IA-2 Suero & Lt antibodies;0'75 U/ml
Langerhans islets Suero & Lt antibodies;2 JDF units
My current endocrine told me based on these tests that due to the gad antibodies she was sure that my DM was 1 and not 1,5 or 2. I still have the hope of being type 2 (because some of them do have a cure) And I wanted to know if seeing this you are also clear that I am type 1.
Sorry for the long post and thanks for reading me!
12/22/2010 2:23 p.m.
Roa, up to 10-15% of patients diagnosed with type 2 diabetes, have an autoimmune component ... That's why I have ever commented that it is not so simple to diagnose a diabetes.
The IA-2 gets negative, it usually refer as more reliable than the GAD ... however the Ica are low, these markers tend to disappear over the years in type 1 ... perhaps because of this the endocrine hasType 1 diagnosed.
A 10 of gyrose and a peptide C to the high limit contradicts a bit:-/ ... maybe, 2 years later, the c peptide you already have something lower and the Ica have also lowered even more.
Or no ... and simply have a type 2 diabetes with autoimmune component
A link that is explained better than me:
12/22/2010 3:28 p.m.
Thank you for answering so fast.
Is there any other tests that I can do to get out of doubt about my type of diabetes?
12/22/2010 4:32 p.m.
Well, perhaps the only thing you lack is see the association with HLA-DR/DQ halotipos:
Although the results that come out are not conclusive:-/
Today, 4-5 years and the measurement of the C peptide can tell you if you are type 1 or type 2
12/23/2010 11:50 a.m.
This link is more difficult !!! ... still, thank you very much.The truth is that it is difficult for me to comment on all these things with my doctor because I imagine that he does not like anything that a non -license in medicine comes to amend the flat, but hey, I will see how I tell him all this.
12/27/2010 1:04 p.m.
Basically the HLA-DR/DQ gene is associated with type 1 diabetes (also to celiacy) ... if it comes positive you have a high percentage of having type 1 (it is usually used to make predictions in non-diagnosed subjects).
You are right, with many doctors it is very difficult to talk about "unusual" medical things in patients.
I usually recommend attacking this issue based on questions, always by sitting that the expert is the doctor and trying to be the protagonist and not the patient.
Unfortunately, many doctors do not accept (still) the concept of "expert patient."
It is also true that part of our task as patients is to demonstrate that we care about our disease and we do not settle for simple formalities.
12/27/2010 1:29 p.m.