Diabetes

Question
Posted by: Michelle | 2012/08/02

Q.

Hypoglycemic

Hi I am 38 years old and been suffering with very low energy levels, low blood pressure 86/62 pulse of 78 (my pulse seems to rise when my blood pressure is low) my Doctor did a sugar test and it came back as 2.5 and then after glucose it went up to 3.6, I then had to do blood work and fasted for 12 hours my blood sugar that morning was 4.1, they then gave me glucose (orally) and after 30min my levels went up to 5.2 after a further 30 min went to 6.2 and then one hour after that it went to 6.8. After a further hour I could barely keep myself awake and I ended up sleeping for 5 hours woke for dinner and then slept from 8pm - 5:30pm not waking, it was like I couldnt get enough sleep.

I am totally confused as my doctor said everything looks normal but I have all the signs of hyperglycaemia tiredness, evening sweating that I wake up and have to change myself and bedding and more... would you think I have hypoglycaemia with those results or do you think it is something totally different?

Please you advise in this regard would be greatly appreciated.

Expert's Reply

A.

Diabetes expert

Dear Michelle
There is a lot of confusion amongst the public regarding hypoglycemia. Relative hypoglycemia is where there is a drop in glucose levels, but not below a specific cutoff of 2.5 on a lab glucose, and this is managed by choosing low GI foods. True hypoglycemia(less than 2.5 at lab) is a medical condition that requires a proper diagnosis and treatment plan. With your low blood pressure and borderline glucose, I would suggest having your cortisol status assessed, as this could potentially account for your symptoms. If fine then suggest seeing an endocrinologist for a proper assessment.

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user comments

C.

Posted by: Diabetes Expert | 2012/08/15

Dear Michelle
There is a lot of confusion amongst the public regarding hypoglycemia. Relative hypoglycemia is where there is a drop in glucose levels, but not below a specific cutoff of 2.5 on a lab glucose, and this is managed by choosing low GI foods. True hypoglycemia(less than 2.5 at lab) is a medical condition that requires a proper diagnosis and treatment plan. With your low blood pressure and borderline glucose, I would suggest having your cortisol status assessed, as this could potentially account for your symptoms. If fine then suggest seeing an endocrinologist for a proper assessment.

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