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Old 03-08-2008, 09:54 PM #1
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Default Good Evening All......I have test results......

I got the test results from the GTT I had done 2 weeks ago. I don't have diabetes but do have blood sugar that gets really wacky because of my gastric bypass. An hr after drinking the Glucose my blood sugar was at 233 then after the 3rd test it was at 5! Yep 5! We talked with the dr.s PA last week and she was going to talk with the Endocrinologist and see if he wants me on a medication to keep it more level all the time.
My Vit. D level is still low "21" when normal is between 30-60. I was first told it was low a year ago when I first started having the Neuropathy pain. I've been taking 3000mg of Vit. D for the past 3 months but that hasn't raised my level. The dr. said I may have to take 5000mg a week now....and that's a prescription.
I also got the results from the Thyroid test. The Thyroid Perodixase AB number is a little high "38". So I have to have that checked every 3 months now. The Peptide number is 4.5. The SGPT (ALT) number is also high 57.
I have to have another test done this week.....some thyroid scan to see if it's "hot or cold".
Does anyone have any advice about any of these numbers??
Hope everyone is having a good weekend!
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Dx'd with Spinal Arthritis 09
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Halo 360 & 90 procedure for Barrett's esophagus
Dx'd Chronic Axonal Neuropathy & Myopathy June 07
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Gall bladder surgery Aug. 2004
Gastric Bypass Dec. 2004
Dx'd: Barrett's Esphogus July 2004
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Dx'd: IBS 2000
Hysterectomy (fibroids) 1999
Laminectomy 1989
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Old 03-08-2008, 11:27 PM #2
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Roxie:

Did you say your blood sugar test result was 5???
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Old 03-09-2008, 12:06 AM #3
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Roxie did you say 5! or 51 if you mean 5,I have know idea how you
would be walking,not be in diabetic coma..After your first 233 would be like you higer eating a bag of surger that's high but seen much higher. But you want to see it ,well I like mine 120-80 if it was 51 I could understand
for me that would be low,but I would feel week,sweaty,heart going a bit fast,headacke..I'm not a expert but most people go off diabectic meds
with major weight loss. Did you or did you have Diabectic 1 before the sugery. I'm willing to bet that 5 was written wrong. N ow I would call about this ,that's not right.. Hugs Sue ps is your weigh still going up and down?
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Old 03-09-2008, 06:34 AM #4
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Default People with gastric emptying issues--

--do tend to have some wacky glucose tolerance test numbers, simply because the body has to adjust--and often does so imperfectly--to the erratic transit times of the GI tract. (Many people find that adapting soem form of Zone eating pattern--small meals eaten frequently, balnced among carbs/fats/protein--help this, and helps make transit more regular.)

But a reading of 5--I'm also wondering if that's a misprint, or a lab error; that's about as severe a reactive hypoglycemia as can be imagined. (I mean, not to frighten you, but if that's a real reading, you'd likely be posting here posthumously.)

Did any med professinal comment on that yet? And was that the last reading taken during the test, or were there others afterward that were more towards the normal range?

I understand why they would like to do a thyroid scan to check up on possible autoimmune thyroid disease with the thyroid antibody numbers. Did they also do an anti-thyroglobulin antibody assay?

The ALT number is high, but not WAY high. It's hard to say what it might mean, as that value does go through some dialy fluctutations, and often is associated with inflammatory processes in the liver or other parts of the body. Usuallly, to narrow down possiblities (which can include muscle breakdown, hepatitis, heart disease, or prescription drug overload) they test a whole host of other more specific enzymes.

Which peptide(S) did they test?
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Old 03-09-2008, 07:22 AM #5
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Wow, Roxie, surely the "5" is an error!

I had a 5 hour GTT done years and years ago. Into the third hour and after I saw the report it read "49". And I remember that at that point I was ready to pass out. When I asked the doc about it later he said...40 was comatose. I really think the "5" is DEFINITELY an error.
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Old 03-09-2008, 07:22 AM #6
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Lightbulb my take...

at a glucose of FIVE you'd be unconscious, (or dead).
This has to be a lab error.

ALT may rise because of drugs.
It may also rise with metabolic syndrome (insulin resistance)
It will rise with viral infection, including Hep C

If you are on Cymbalta, this would be a red flag test. Same with statins.
Time to change drugs.

Your numbers for ALT aren't that high..to be worried yet. Just retest.

I had a mild ALT elevation due to Claritin, once.
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Old 03-09-2008, 08:21 AM #7
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Hi!
Yes at the end of the 3 hrs my insulin level number was 5. (sorry I said blood sugar number in my other post) I couldn't hardly stand and couldn't sign my name on the dr. report! It was awful! I thought I was going to pass out! I'd brought some food with me so sat there and ate it and after a while I was much better. The PA that we talked to on Wed. said that my number was that low because of my gastric bypass and that foods go straight thru me because of the small stomach and intestines.
The Peptide that was tested was C if I'm reading this right.
Tomorrow I'll have to call the PA and see if she's talked to the dr. about me being on medication for the level or not. She mentioned 2 meds but I can only remember Glucaphag (sp?).
The PA did say I'll have to keep an eye on the ALT number incase it begins to rise.
For the scan test I have to have on Wed. she said I have to swallow a pill and then go back there again on Friday for a 1 1/2 hr scan.......can anyone tell me more about that test?
Thanks every body! Y'all are great!
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Dx'd with Spinal Arthritis 09
Upper and lower Spinal Cord Stimulator surgery
Replaced IV port 09
Had surgery for IV port for IVIG infusions 07
Halo 360 & 90 procedure for Barrett's esophagus
Dx'd Chronic Axonal Neuropathy & Myopathy June 07
Dx'd IC May 2006 (after suffering for 25+ yrs!)
Gall bladder surgery Aug. 2004
Gastric Bypass Dec. 2004
Dx'd: Barrett's Esphogus July 2004
Bladder surgery 2000
Dx'd: IBS 2000
Hysterectomy (fibroids) 1999
Laminectomy 1989
Dx'd: Degerative Disk Disease 1989
Cyst removed from my ankle -twice 1986
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Old 03-09-2008, 10:34 AM #8
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Default Wow that must have been

beyond scary? When you get so off-balance with your systems and you get out of it and shaky and all... Good thing you brought some 'emergency supplies' with you! I always have some in my car...I'm not diabetic, nor pre-diabetic, but am hypyglycemic. Similar actions/reactions...different reasons.

Ok you asked about Metformin, here is the full prescribing patient info for it:
http://packageinserts.bms.com/pi/pi_glucophage_xr.pdf
All 40 pages of it! It's not the quick and dirty version, but it is the complete version. Take time to read it all in bits...as it's a lot of info, AND with your other issues and meds it's really going to be up to you to see if it's going to work well.

As for the pill test thing? Do you have anymore specific things to go on? I recall Billye[Silverlady] had one, and maybe Cycleops? I'm drawing a blank about other folks tho. Oh yes! Cheryl from Oregon had a similar test with odd results - that's all I recall. Wish I could be more useful. 's for now tho? - j
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Old 03-09-2008, 11:06 AM #9
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Lightbulb I would be concerned about Metformin

if your blood sugar when down that far in reality.

Metformin blocks glucose formation by the liver. This happens between meals,
to keep blood glucose steady. Glucose is formed from amino acids when carbs are not eaten, fasting, or whatever.

If your liver cannot make glucose for you properly...suppressing it further does
not sound like a good idea to me!

I was on Metformin for a few months, (non diabetic)-- for insulin resistance, and it caused severe
morning hypoglycemia and dizziness. I had to stop taking it.
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Old 03-09-2008, 11:45 AM #10
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Default Dahlek..

The pill I had to swallow was the small bowel transit test done with the camera. I think Roxie is talking about the thyroid scan, probably a radioactive test. Not sure, but that's what I'm reading into her post.

Billye
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