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06/20/09
01:35 PM
"Was well controlled (5.4) on only 250 mg Metformin. Now burning feet, very dry eyes, numbers erratic. Primary raised to 500mg, but #170 PP today"
Asked By:
mjwharris
Category:
Blood Glucose Monitoring
Background Info Hide
Type II since May, 2006. Only change was inability to exercise much for 7 months (back and knee problems) Back to exercise last month and increasing weekly, but numbers immediately after eating (1-1 1/2 hrs) are very high, morning number in teens and 20s. Had numbness in feet prior to any diabetes diagnosis, but previous cardiologist told me to ignore that as well as slightly low thyroid and slightly high fasting blood sugar. Present doctor addressed thyroid (tiny amount of Levothyroxine) and blood sugar numbers were normal (2003-4)
Husband's cancer in 2005-6 and the stress sent me to blood sugar numbers in 300s by May, 2006. He died 2 months later but within 6 months I had controlled everything with diet, exercise, determination. Numbers great, A1C never more than 5.4 So, now what is going on? I'm very nervous about sudden changes in numbers and burning in feet. My podiatrist says I have neuropathy but we still need to talk about options?
Expert Answers (1)
12/02/09
03:35 PM
I apologize for the delay in answering your question. You are to be commended for your determination - you have had a lot to deal with the past few years! Unfortunately diabetes changes over time. Even when doing all the right things, the body's ability to make and use insulin changes and Medications need to be adjusted, changed or added to your treatment plan of meal planning and exercise. An A1C of 5.4 is terrific, but it doesn't reflect the changes related to meals or the elevated fastings related to nightime release of sugar from the liver. I would recommend keeping good blood sugar records (check fasting and 2 hours after meals), along with food and exercise entries. Discuss the findings with your primary care physician or endocrinologist to find the best treatment plan for blood sugar control. Neuropathy cannot be reversed, but symptoms can often be controlled with tight blood sugar control and/or other medications. Stay proactive and keep seeking answers.
Answered By:
Beth McKinzie
Accreditations: RN, BSN, CDE
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