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The Question
Mon Mar 17 12:47:41 UTC 2014

I am very scared. I can not get my morning sugar below 250 and at night its in the 400s?
Asked By: jburkh2  
Category: Other

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I was hospitalized 3 weeks ago for mild keto acidosis. Since my release I can not get control of my sugars and have continued a huge amount of weight loss. I finally saw a endocronoligist Friday who thinks I might have an overactive thyroid. I am down to 128 lbs and feel like I am slowly dying. I have to admit I stopped taking care of my diabetes the way I should about a year ago and my A1C was 11.3. Since I was released I am counting my carbs, keeping a food and sugar journal, and doing everything because Im scared. Nothing has changed sugar still high, im starving and losing weight. I am so scared because nothing helps drs trying and keep uping my insulin. But each day I get weaker and weaker. Dont know what to do
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Expert Answers (1)
2014-05-08 12:25:01.0

Dear jburkh2, I am very happy to know that you are seeing an endocrinologist. It is scary to see blood sugars get out of control. When blood sugars are high, you are in fact, starving your body. Hence the weight loss. I was not sure from your narrative, but are you also eating very little to try to lower your blood sugars? If that is so, stop that and start eating a healthy diet again. There is no magic number of insulin units that anyone would have to take to have good blood sugar control. The endocrinologist should be given good blood sugar records, diet diary, and exercise diary from you to help adjust your medications. There are many types of diabetes medications that can be used, and an endocrinologist should be able to select the right ones for you. I really encourage you to work together with this health professional and his team of educators to get you back into control.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (3)
2015-05-05 00:57:07.0

I understand how this feels. I'm going out on a limb here only because this was and still is my issue today. When I treat for high blood sugar in the evening I run a high risk of going low in my sleep at which point I don't wake up and my liver helps me out by releasing some glycogen. What that does to my morning sugar level is make it difficult to lower because that glycogen sugar is some stubborn stuff and doesn't like to go down right away unlike food induced high sugar which responds very well to my correction. I like to limit the fat with carb content at my night time meal. Fat slows down carb absorption making it possible to run low then go higher later. Anyway, I would either test at 2am or 3am (just a couple nights) and make adjustments or reduce my correction before bed time. If I was to bet, I am thinking you go low while sleeping causing the sugar to be high in the morning which causes a ton of stress for your next day so the cycle continues. And one more thing, have some orange or apple juice on your night stand for that early morning test, nothing makes me more lazy than low sugar at 2am and then I don't want to do anything to treat it because my fast sugar source is down in the kitchen. I hope you find your groove and this provides some help.
Answered By: diapro

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2014-06-14 23:26:28.0

If your doctor thinks your weight loss etc might be due to an overactive thyroid I would certainly have him follow through with the blood tests. Years before I was diagnosed with type 1 diabetes, I was losing weight, eating like never before (only time in my life I was able to eat everything I wanted and still lose weight) and was losing muscle control and so on, I felt terrible...... Bottom line, I had graves disease (over active thyroid). This is another immune system disorder. That was approx. 20 years ago and have had it under control almost from the time of diagnosis. I have no idea if this would effect your blood sugars, but would be something you need to address quickly regardless. Just a thought - hope it helps.
Answered By: dbuchana

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2014-06-01 18:49:24.0

Been there. Here's what I did. 1.Give insulin 20/30 minutes before food and 2. Consume a modified Paleo diet breakfast. That includes only protein and veggies in the morning. Omelet with cooked spinach and basil. Or, 2 hard boiled eggs with a bunch of stir fried mushrooms and green onions 3. Eliminated all dairy at breakfast. For six months glucose levels remains below 120 3 hours after breakfast. Hope this helps.
Answered By: lai

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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