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Suggest Treatment For Fluctuating Sugar Levels

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Posted on Tue, 2 Sep 2014
Question: Have had diabetes for +19 yrs..Had a few low sugars lately (29) (59) have not taken insulin when called for
reading this AM normal (96). Whats happening?
doctor
Answered by Dr. Michelle Gibson James (40 minutes later)
Brief Answer:
different possible causes

Detailed Answer:
HI, thanks for using healthcare magic

Hypoglycemia (low blood sugars) are due to an imbalance between the medications used to reduce blood sugars and the body's level.

The most common causes are: (1)side effect of the medication such as insulin

(2)reduction in the food and drink eaten causing lower sugars

(3)increase in activity in relation to food and medication

(4)alcohol use

(5)liver disease

(6)kidney disease

Treatment

(1)You may want to consider starting a food diary. It is possible on the days that you had the reduced blood sugar levels there was a decrease in food or drink intake.
Need to match intake to readings.

(2)may need to be assessed by your doctor to determine if you have any other causes for hypoglycemia

(3)continue monitoring blood sugars and for any symptoms of hypoglycemia

(4)may need to set higher goals for diabetes to avoid hypoglycemic instances. This means that your insulin may need to slightly reduced. Initially this reduction would only be few units (2 to 6) ,depending on home monitoring results.

I hope this helps,feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)

Thank you for answers to consider. Do not use alcohol. Will need more serious diagnosis . False hope for diabetes remission.!? (Humor). CHS.
doctor
Answered by Dr. Michelle Gibson James (20 minutes later)
Brief Answer:
review of diet history and bloods needed

Detailed Answer:
HI

Your doctor can review your diet history, do bloods to check kidney and liver function and consider reducing your insulin levels.

Unfortunately, it is very rare for it to reverse or go into 'remission'. It is possible if there is a specific cause which is found and treated for example:
(1)in persons who are obese who lose weight
(2)mass in the pancreas involved in the production of sugar-glucagonoma- if removed then can glucose would decrease
(3)certain hormonal conditions

Other than these, does not usually occur.

You will need to keep a close eye on the levels.

Please feel free to ask anything else
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Fluctuating Sugar Levels

Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic Hypoglycemia (low blood sugars) are due to an imbalance between the medications used to reduce blood sugars and the body's level. The most common causes are: (1)side effect of the medication such as insulin (2)reduction in the food and drink eaten causing lower sugars (3)increase in activity in relation to food and medication (4)alcohol use (5)liver disease (6)kidney disease Treatment (1)You may want to consider starting a food diary. It is possible on the days that you had the reduced blood sugar levels there was a decrease in food or drink intake. Need to match intake to readings. (2)may need to be assessed by your doctor to determine if you have any other causes for hypoglycemia (3)continue monitoring blood sugars and for any symptoms of hypoglycemia (4)may need to set higher goals for diabetes to avoid hypoglycemic instances. This means that your insulin may need to slightly reduced. Initially this reduction would only be few units (2 to 6) ,depending on home monitoring results. I hope this helps,feel free to ask any other questions