Alan is not the most communicative patient from what I see in your posts.
You seem to be his advocate.
The whole glucose test looks weird. At his age there should be some
increase --even basically a little in the 1st hour.
Quote:
3 hr GLU TOL
FASTING GLUCOSE 80 70-110 mg/dL
GLUCOSE 1 HR 108 70-200 mg/dL
GLUCOSE 2 HR 74 70-140 mg/dL
GLUCOSE 3 HR 38 L 70-125 mg/dL
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His first hour after the challenge is lower than most people's fasting.
I would monitor him at home, still and keep a diary. I would check him after a workout, BEFORE he eats or drinks anything. Ask him if he gets shakey at the end of the workouts. He may attribute sweating then to the workout, and
not low blood sugar if it happens then.
The numbers are rather confusing...and meaningless when viewed out of context. One has to ask, where did all that sugar go? and why so fast? If you look at other graphs, you
can see there is wide variation.
http://hypoglykemie.nl/gtt.htm
If you plug the #s into the basic graph at that website, you can see Alan is
mostly like the purple (last ) line.
I guess if doctors do not get "complaints" from you...and your numbers are low, (not high indicating diabetes), they just ignore the rest?
Most symptoms of hypoglycemia occur with huge shifts in levels. Alan does
not present with this. HIs readings do not spike quickly with time. They are all blunted.
Here is another website:
http://www.digitalnaturopath.com/cond/C18537.html
One thing you can do is to measure his sugar when he "complains" that his PN is bothering him. This in fact may be the dip (and in males below 50 is significant) in blood sugar at home.
No matter what is going on...those reading are atypical. Whether to believe them or not? Well, I'd still get the fasting INSULIN done. It is easy, and you have had everything else..so why not follow thru with that?
Here is an interesting Wikipedia entry:
Quote:
Presence or absence of effects
Research in healthy adults shows that mental efficiency declines slightly but measurably as blood glucose falls below 65 mg/dl (3.6 mM) in many people. Hormonal defense mechanisms (adrenaline and glucagon) are activated as it drops below a threshold level (about 55 mg/dl for most people), producing the typical symptoms of shakiness and dysphoria. On the other hand, obvious impairment does not often occur until the glucose falls below 40 mg/dl, and up to 10% of the population may occasionally have glucose levels below 65 in the morning without apparent effects. Brain effects of hypoglycemia, termed neuroglycopenia, determine whether a given low glucose is a "problem" for that person, and hence some people tend to use the term hypoglycemia only when a moderately low glucose is accompanied by symptoms.
Even this criterion is complicated by the facts that hypoglycemic symptoms are vague and can be produced by other conditions, that people with persistently or recurrently low glucose levels can lose their threshold symptoms so that severe neuroglycopenic impairment can occur without much warning, and that many of our measurement methods (especially glucose meters) are imprecise at low levels.
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from
http://en.wikipedia.org/wiki/Hypoglycemia
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Weezie looking at petunias 8.25.2017
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