Hypoglycemia
I have just recently started taking Atenolol (a beta blocker) and
Glyburide.
The beta blocker masks the first signs of hypoglycemia. I don’t get
the rapid heartbeat or the nervous anxiety attacks. Now it seems the
only time I know my blood sugar is on the downswing, is when my
vision gets blurred, I get a headache or I start feeling nauseaus.
The thing I can’t figure out is that I don’t think I should be
getting these feelings when my blood sugar is around 80 to 82.
Do people have differant tollerance plateaus? I might not feel right
when my blood sugar is in the low 80’s and you might not feel right
when your blood sugar is in the low 70’s.
Before I started taking the meds, and before my bs got out of control
and was over 200 steady, my bs would hover around 92 - 96 one and a
half hours after eating.
Those of you who are on glyburide, how low are your blood sugars when
you start feeling the effects?
Thanks.
September 24th, 2003 at 1:12 am
Gloria:
From my understanding (IDDM daughter, etc.) I believe you
may be able to regain your "warning signs" of pending
episodes of severe hypoglycemia although there is a
phenomena referred to as "Hypoglycemia Unawareness" where
the repeated oscillations in blood sugar’s leads to
diminution of the awareness.
What time a day, relative to insulin injection, carb intake
have your severe hypoglycemic episodes been?
Best of Luck,
=====
The plural of anecdote is not data
September 24th, 2003 at 10:29 pm
I agree with your comments except the one where you suggest
Gloria’s multiple daily injection (MDI) routine is wrong.
The Diabetes Complications Control Trials (DCCT) found a
great decrease in the long term complications of diabetes
with MDI—now, likely better still with insulin pumps to
more closely mimic the in situ pancreas. Granted the
negatives of MDI are the 3 fold increase in the number of
SH episodes and those pesky shots……I once told my
daughter that I "knew how she felt and wished that I had
her diabetes" only to have her say that she felt the highs,
the lows, the shots, and the finger pokes and I did NOT
know how she felt. She was right–my fingertips are
intact.
Sincerely,
=====
The plural of anecdote is not data