MeredithCR

Q:

I've been type-1 since 1978. I didn't have health insurance for almost a decade. So I've NO idea what might or might not be wrong with me at this time. I'm currently having problems with passing out, since i've little hypo- or hyperglycemic awareness and can go from 24 to 350 in a single day and not know it, save for glucose tests. What tests should I have to find out what may or may not be wrong with me? What should I do from this point forward to give me as many years of life as possible?

Patty Bonsignore

A:

As you probably know, people with type 1 diabetes are at higher risk for passing out from low blood glucose than people with type 2 diabetes. Risk factors that increase the chances of a person with diabetes of passing out are a long history of type 1 diabetes, inability to feel low blood glucose reactions, excessive alcohol intake and erratic blood glucose levels. From your description, it sounds like you have at least 3 of these risk factors. Passing out can also occur for other reasons, such as a heart condition or low blood pressure. Keep a record of when these episodes are occurring. What are your symptoms immediately before you pass out? Are you light-headed? Is your heart beat irregular? Do you get dizzy? Have you been drinking more alcohol than usual? Have your blood glucose levels been low? If the passing out is related to blood glucose, then checking your blood glucose more often and writing down your insulin doses and reviewing these numbers with your doctor or diabetes educator should help you. If you do not think the episodes are from your diabetes, talking to your doctor about seeing a cardiologist is probably the next step.

March 29, 2014 at 7:38 pm