It seems my wife is diabetic, and I have questions - Page 2

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It seems my wife is diabetic, and I have questions - Page 2


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Old 01-06-2011, 00:08   #11
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A lot of us are thin type 2's. High bgs for a long time will make people lose weight, type 1 or type 2. Ask the doctor for the appropriate tests to detrmine whether she has antibodies that would make her a type 1. High trigs are usually from a diet too high carb not necessarily from fat being burned as fuel. I am on a low carb diet and am in ketosis most of the time ( I burn fat as fuel) and my trigs are under 100. The lowest they have been are 75.

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Old 01-06-2011, 01:23   #12
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Rapid heartbeat and dehydration are symptoms she should call her doc about ASAP -- the dehydration of DKA can become DANGEROUS!

I was hospitalized on IV for that at diagnosis! Not something to fool around with!

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Old 01-06-2011, 12:16   #13
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Well, maybe she is type 2. I would imagine that we will know soon. She had blood drawn Tuesday at the latest doctor's visit; I don't know what tests are being done with it but I would have to imagine they would check for GAD65 antibodies and/or C-peptide or do some other check for insulin production. In any case, it seems clear that she is diabetic one way or another. I also am pretty sure she has been in ketosis for a while, based on the unexplained weight loss.

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Originally Posted by foxl View Post
Rapid heartbeat and dehydration are symptoms she should call her doc about ASAP -- the dehydration of DKA can become DANGEROUS!

I was hospitalized on IV for that at diagnosis! Not something to fool around with!
Foxl, just curious---was your hematocrit, red blood cell count, and/or hemoglobin high at that time? I'm wondering if her high values with those three tests are due to high red blood cell production or whether she is hypovolemic. I was thinking it is likely the latter, but her doctor doesn't think so (partly because her white blood cell count and electrolytes were normal). In any case, my wife doesn't seem to have all the usual symptoms of DKA. She drinks water regularly but doesn't seem particularly thirsty.

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Anyway, my wife was prescribed metformin already. It would seem wise if she is type 2 but not so much if she turns out to be LADA, right?

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Old 01-06-2011, 13:39   #14
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No idea regarding HCT, etc., so I assume they were normal or attributable, as you say, to hypovolemia. They were not mentioned to me.

BTW, it is likely not ketosis -- that is innocuous -- it is KetoACIDosis, which is dangerous. Truly -- get her to call her Doc again, and test for ketone bodies in urine and blood.

And as regards met ... I am on 2000 mg per day of met. Many LADAs do have a degree of insulin resistance (there are different types -- one thing we are NEVER told!) -- in the form of liver spewage -- the liver churns out excess glucose from protein. Met quenches that. I have never gone off met to test its efficacy, but it is supposed to help lower insulin dosage, which is good because that lowers risk of hypos.

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Old 01-14-2011, 20:53   #15
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Just to follow up, my wife was diagnosed as a type 1 diabetic. (Apparently lab tests still need to confirm it's type 1, but the endocrinologist is treating her as type 1.) She's been on insulin for two days now and her blood sugar seems to be responding well to it. She also is done with her brief time on metformin. Of course, we'd prefer that she have no medical conditions, but we're happy to know the cause of her weight loss and other symptoms.

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Old 01-15-2011, 04:02   #16
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It really is best that you found out that she has diabetes. What type she has and if it has anything to do with her low body weight, all that can be determined next.

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Old 01-15-2011, 05:06   #17
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Good to hear from you, McGruff . . . and I'm sure a few more days on insulin and your wife will begin to feel like her former self again. There is still a lot to learn, but it must be a great relief to have a name for it, and a good endocrinologist who recognizes the signs.

Keep us posted!




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