Newly Dx w/Type 2

Rita B
By Rita B Latest Reply 2015-09-07 03:11:14 -0500
Started 2010-01-05 19:10:42 -0600

Hi everyone!

As you can tell, I am new here and new to the diagnosis (about 3 weeks ago after a FGT, A1C followed by a OGTT I was diagnosed with type 2 diabetes). At the time, the Dr prescribed the met meds (can't remember how to spell it), told me to cut out all sweets and cokes, cut my pasta and other starches in half, come back in 4 weeks for a retest on my sugar, and in the meantime, a nutritionist would call me to meet with me on testing my sugar, give me a monitor, start the education and diet planning. That is scheduled for a week away. Oh, yeah to walk 15 minutes a day 6 days a week.

But I do have a question. I am following the dr's orders and surprisely, I am feeling so much better (didn't realize how bad I was feeling) but about an hour after some meals I get real shakey. Can someone explain what that is? I would appreciate it.

17 replies

spiritwalker 2010-01-05 22:18:58 -0600 Report

Hi Rita and welcome.
Call your Dr. He or She needs to know, and you need a
meter. Its the only way to know what your numbers are.
This is a great site. You will find a lot of supportive
friends here.

Rita B
Rita B 2010-01-06 18:06:57 -0600 Report

Thanks everyone. I do have an appt with the nutritionist/diabetic educator next Tues and will be given a bg monitor. I don't get that weak and trembling, just enough to be annoying. My glucose levels were as follows:

fasting 155
1/2 hr 277
1 hr 362
2 hr 369
3 hr 243

and my a1c was 8.8.

So this is why he started me on meds before giving me the monitor. Doctors around here are on these 15 min schedules and by meeting with the educator, they have scheduled more time to teach you. Just one of those things brought on by ins. But overall, I am feeling so much better in just 2 weeks and in just a few days I will have a monitor and will then at that time will know for real how I am really doing.

Thanks for all of your responses. I really appreciate it.

Sue Turner
Sue Turner 2010-01-05 21:05:31 -0600 Report

Hi Rita, and welcome!

I can't believe that your doctor didn't give you a meter to check your blood sugar levels when you saw him. I know they have them, the rep's give them to them.

I have the same problem when my blood sugar is running high or low, so it is very crucial to check your levels to see which way they are going. Sometimes, I think that I am bottoming out, and when I check, I am running high… I sincerely hope you don't have to wait too long before you get the help that you need.

nerdse 2010-01-06 01:07:50 -0600 Report

I agree, monitors should be given with meds, not after. Before, but not after. Call the doctor & tell him your symptoms.
Your body will self correct since you're a type II, at least a little, but that shouldn't be something you rely on; it may react too slowly to correct at some point. Insulin is used to move sugar into the cells so they can use it (so if you run high & don't have enough insulin, you'll feel hungry even after a big meal because your cells aren't getting the sugar; it's still in the blood; so they send "hungry" messages to you). Glucagon gets the body's energy stores to release more energy if your sugars start to run low - except in type I diabetics, who have neither insulin nor glucagon. Type 2s still have both. And if your sugars have been averaging in the 200s, then if they're suddenly 100, which is normal, your body will feel shaky even though you're in the "normal range." Again, you need a monitor to be safe,
When you do get a monitor, likely they'll tell you to check twice a day, but I like to check also any time I feel weird, or have another sickness. Any time you end up with a cold or flu, your sugars will tend to run high even if you're throwing up. The stress of the illness causes the body to release a hormone called cortisol, which causes the release of the body's energy storage into sugar to give your body the energy to fight the infection. In non-diabetics, that's helpful; but for diabetics, we don't have the insulin to move the sugar into the cells, so it stays in the bloodstream, raising the sugar. The diabetes educator (demand to see one) will go into more detail on this, but it helps to know that being sick can make sugars high. So can any sort of trauma that causes pain - same thing - stress hormones release sugar but there's not enough insulin to move the sugar into the cells. You'll also hear about the "dawn phenomonon." The body prepares itself to wake up by releasing cortisol to give your body the energy needed to complete the process of waking up. So in the morning, your sugars can be quite high even though you haven't eaten in 10 or more hours sometimes. That's one reason they'll ask you to check your sugar first thing in the morning, so they can adjust the times you take your medication if needed. And sometimes, they'll have you take medication at night to help ease that problem. It's generally lowest right before supper, the next time they generally advise you to check your sugar. They might also want you to check sugars 2 hours after meals, to make sure it's not over 140 - right now, though, it sounds like it's going low - either relative to what it's been, or actually low.
You're probably on metformin. It's of a type of drug called an "insulin sensitizer," meaning it makes your body's tissues more sensitive to insulin. It doesn't stimulate your pancreas to produce more insulin, like glucophage or glipizide, which may or may not be added if the disease progresses. If this works, and I'd say it & following your doctor's advice are working quite well, this may be the only medication you need for quite some time. In fact, often healthy lifestyle choices can mean you can go off pills, but you should still check your sugars to make sure they're not climbing up again.
Most type 2s do end up on insulin eventually. I asked for it right away. My son got type 1 (autoimmune) diabetes when he was 12, 8 years ago. Even through all the hormonal fluctuations of adolescence & young adulthood that mess up sugars, he's never been in the hospital since his initial diagnosis - quite an achievement. And by the time my Mom came to stay with us because she couldn't manage alone, she was on lantus & glipizide - and had an adrenal mass that messed up her sugars so badly that some days, we didn't dare give her the insulin or the pills, & other days you couldn't control her high sugars easily even if she ate next to nothing. So I got used to dealing with 2 people whose sugars were always all over the place. Mom graduated to Heaven last Feb., so she no longer has to worry. But as a result of these experiences & my other illnesses, I asked for insulin to start with (also, with 22 medication allergies, the thought of another one didn't sit too well with me). It's a good thing I did; my fibromyalgia pain sometimes pushes the sugars up so high that even if I can't eat because of the pain (and generally, the nausea is so bad from the pain that eating is the last thing on my mind), I have to cover with corrective insulin. Other times, when the chronic fatigue syndrome causes bone-crushing fatigue, I can drink a Coca Cola & still have a low sugar, so I have to adjust the insulin doses. I've only been diagnosed for about 7 months now, but I went from an A1C of nearly 8 to now, 5.8 for over a month, & my average sugar is between 100 & 115. Insulin allows that type of control. If I let my sugars get high, it actually triggers attacks of fibromyalgia pain, so it's in my best interests to keep control. Since both are now so bad I can't work, & can't even walk more than 5 minutes at a time without having 10/10 pain & becoming exhausted & dizzy, insulin becomes vital in my case. You can see that everyone is different! But if you ever have to use insulin in the future, please don't be afraid of it. The control is worth the discomfort. It's very freeing, although learning to use it the way my family's had to is a challenge.
I think you're doing great, but your doctor needs to give you a monitor right away. Diabetes is so common that diabetes educators & nutritionists & endocrinologists are overwhelmed at times (in case you don't know, endocrinologists are hormone doctors; insulin & glucagon are hormones just like thyroid, estrogen, progesterone, testosterone, etc).
Best of luck to you; hopefully, you'll be able to go off pills once your sugars stabilize & healthy habits take over.

kdroberts 2010-01-06 05:51:07 -0600 Report

Metformin (generic glucophage) isn't really an insulin sensitizer (Avandia and Actos are the only ones classed that) although it does help a little with peripheral insulin sensitivity. It mainly works with your liver to inhibit the amount of glucose it stores and releases.

AddassaMari 2010-01-06 18:38:19 -0600 Report

Metformin does decrease the glucose output from the liver. It falls under a group of drugs call Insulin-Sensitizers, in the class Biguanides. The other class of Insulin-Sensitizers is Thiazolinediones (TZDs) which includes (Actos) and Rosiglitazons (Avandia).

Insulin-Sensitizers are one of four groups of Oral/Other Diabetic Medications. The other three groups are:

1) Secretagogues (Simulates release of insulin). The two classes under this group are Sulgonylureas (Glimepiride-Amaryl; Glipizide-Glucotrol; Glyburide-Diabeta, Glynase, Micronase; Chlorpropamide-Diabenese), and Meglitinides (Nateglinide-Starlix; Repaglinide-Prandin. These are taken only with meals). {Major side effect: Hypoglycemia}

2) Alpha-glucosidase Inhibitors are Starch-Blockers (Acarbose-Precose; Migitol-Glyset). {Major side effect: GI upset/flatulence}

3) Incretins GLP-1 (Exenatide-Byetta) - SQ Injection. {Major side effects: nausea/vommiting, weight loss)

Major side effect of TDZs— Edema (swelling)
Major side effect of Biguanides: Binds w/IV dye. Do not take with poor kidney.

This information courtesy of my Diabetic Educator.

Susie624 2010-01-05 19:58:29 -0600 Report

welcome to the site and I think you might mean metformin as the med. Im not exactly sure though.and take Harlan advice and talk to you doctor.

Hinboyz3 2010-01-05 19:57:49 -0600 Report

Hello and welcome to the site, Im with Harlen on that one and evryone else too. call your doctor and at least let him know what your going thru, he can probably help you out and ease your mind too!

Harlen 2010-01-05 19:23:04 -0600 Report

Hello and welcome
It can be a sugar low or a high with out a meter you cant tell.
your on meds now?
whithout a meter??
call Your Doc And tell them whats happening to you thats what I would do.
Best wishes

kdroberts 2010-01-05 19:19:16 -0600 Report

It is probably your body getting used to lower blood sugar numbers but without testing your blood sugar there is no way of knowing for sure if it is that or if your blood sugar is too low. Shaking is a symptom of low blood sugar but also if you have had high blood sugar for a while your body can think that normal blood sugar is low and it triggers the same response.

Next Discussion: living out of a can »