question about GTT and hypoglycemia

"Fawnhawk" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Hi,

I just had a glucose tolerance test done on Wednesday. My nurse told me

the

Quoted message said:

results on Thursday. She said the fasting glucose level was 69 and after drinking the glucose and
waiting 2 hours, it was 35. This looks like hypoglycemia and it looked like a reactive
hypoglycemic result at 35.

When I walked out of the clinic with it at 35, I did not feel any

symptoms.

Quoted message said:

What does that mean? Now, after I drank the glucose, I felt naseated and cold for awhile and then
those disappeared and I felt okay again for the last half hour. I think during the last half hour
I felt kind of sleepy, but then it went away before I walked out. She did not have them test

during

Quoted message said:

the two hours maybe because its extremely difficult and painful to find a useful vein on me.

My nurse told me that they were figuring out whether I should see an endocrinologist and a
dietetician. She also told me to avoid waiting

longer

Quoted message said:

than two hours to eat and to eat smaller meals (both of which I have done for a number of years
already). She said she'd give me more info when she got more information.

So what does it mean when its at 35 and I don't feel any obvious symptoms?

You have probably got used to going low. Hasn't the nurse heard of finger [censored] tests btw? A proper
GTT would involve regular testing over a certain amount of hours. You need to know how high you
actually went after the glucose. I would recommend an endocrinologist, I have a feeling you will
need one sometime in your future. And yes, you need regular meals, a mix of a complex carb and some
protein and a bit of fat, e.g. a slice of grain bread with butter and peanut butter or cheese etc.
Try to keep the carb amounts fairly even at every meal and snack. Fast acting carbs should be
avoided e.g. juice, real Coke, sugar, white bread and white rice, cornflakes type cereals etc -
basically anything that obviously has a lot of quick carbs or highly processed food. If you feel
symptoms try a 1/2 glass of juice, followed by something slower acting.

It means don't operate heavy machinery or drive a vehicle until you get a handle on your problem!
(Unless this has only happened during a GTT.) If you ARE hypoglycemic, don't eat much sugary stuff
or you will have a big drop in bg's after your insulin kicks in. You need to talk to a dietitian
about what and when you should eat to minimize low bg's. They will give you the lowdown on it. 35 is
VERY low; dangerously low from the standpoint of safety while driving, for example. You can't make
think clearly at 35, and even that won't be apparent to you. Some folks keel over from low blood
sugar right in the middle of a conversation, so be careful.

dave

Fawnhawk said:

Hi,

I just had a glucose tolerance test done on Wednesday. My nurse told me the results on Thursday.
She said the fasting glucose level was 69 and after drinking the glucose and waiting 2 hours, it
was 35. This looks like hypoglycemia and it looked like a reactive hypoglycemic result at 35.

When I walked out of the clinic with it at 35, I did not feel any symptoms. What does that mean?
Now, after I drank the glucose, I felt naseated and cold for awhile and then those disappeared and
I felt okay again for the last half hour. I think during the last half hour I felt kind of sleepy,
but then it went away before I walked out. She did not have them test during the two hours maybe
because its extremely difficult and painful to find a useful vein on me.

My nurse told me that they were figuring out whether I should see an endocrinologist and a
dietetician. She also told me to avoid waiting longer than two hours to eat and to eat smaller
meals (both of which I have done for a number of years already). She said she'd give me more info
when she got more information.

So what does it mean when its at 35 and I don't feel any obvious symptoms?

fawnhawk

good points! and she is gonna have to be very careful about a rebound low from treating the initial
low. That's more difficult for a hypo person than a diabetic treating an insulin induced low. I for
example tend to overtreat a low and end up high for quite some time. A hypo person over treating is
just exacerbating the problem.

dave

Ozgirl said:

"Fawnhawk" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Hi,

I just had a glucose tolerance test done on Wednesday. My nurse told me

the

Quoted message said:

results on Thursday. She said the fasting glucose level was 69 and after drinking the glucose and
waiting 2 hours, it was 35. This looks like hypoglycemia and it looked like a reactive
hypoglycemic result at 35.

When I walked out of the clinic with it at 35, I did not feel any

symptoms.

Quoted message said:

What does that mean? Now, after I drank the glucose, I felt naseated and cold for awhile and then
those disappeared and I felt okay again for the last half hour. I think during the last half hour
I felt kind of sleepy, but then it went away before I walked out. She did not have them test

during

Quoted message said:

the two hours maybe because its extremely difficult and painful to find a useful vein on me.

My nurse told me that they were figuring out whether I should see an endocrinologist and a
dietetician. She also told me to avoid waiting

longer

Quoted message said:

than two hours to eat and to eat smaller meals (both of which I have done for a number of years
already). She said she'd give me more info when she got more information.

So what does it mean when its at 35 and I don't feel any obvious symptoms?

You have probably got used to going low. Hasn't the nurse heard of finger [censored] tests btw? A
proper GTT would involve regular testing over a certain amount of hours. You need to know how high
you actually went after the glucose. I would recommend an endocrinologist, I have a feeling you
will need one sometime in your future. And yes, you need regular meals, a mix of a complex carb
and some protein and a bit of fat, e.g. a slice of grain bread with butter and peanut butter or
cheese etc. Try to keep the carb amounts fairly even at every meal and snack. Fast acting carbs
should be avoided e.g. juice, real Coke, sugar, white bread and white rice, cornflakes type
cereals etc - basically anything that obviously has a lot of quick carbs or highly processed food.
If you feel symptoms try a 1/2 glass of juice, followed by something slower acting.

I made an appointment with the endocrinologist. It's not until Jan. unfortunately. It seems odd to
identify this problem and then not do anything about it for two months.

Fawnhawk

"Ozgirl" <[email hidden]> wrote in message -"]news:[email hidden]-
berlin.de...

Quoted message said:

You have probably got used to going low. Hasn't the nurse heard of finger [censored] tests btw? A
proper GTT would involve regular testing over a

certain

Quoted message said:

amount of hours. You need to know how high you actually went after the glucose. I would recommend
an endocrinologist, I have a feeling you will need one sometime in your future. And yes, you need
regular meals, a mix

of

Quoted message said:

a complex carb and some protein and a bit of fat, e.g. a slice of grain bread with butter and
peanut butter or cheese etc. Try to keep the carb amounts fairly even at every meal and snack.
Fast acting carbs should be avoided e.g. juice, real Coke, sugar, white bread and white rice,

cornflakes

Quoted message said:

type cereals etc - basically anything that obviously has a lot of quick carbs or highly processed
food. If you feel symptoms try a 1/2 glass of juice, followed by something slower acting.

"Fawnhawk" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

I made an appointment with the endocrinologist. It's not until Jan. unfortunately. It seems odd to
identify this problem and then not do anything about it for two months.

I waited 3 months to see a cardiologist. I asked the receptionist at the time of booking what would
happen if I had a heart attack meanwhile? She said that's what emergency rooms are for, doh!!!