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!

Roxie:

Did you say your blood sugar test result was 5???

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?

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?

Wow, Roxie, surely the "5" is an error! :eek:

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.

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.

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!

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. :hug:'s for now tho? - j

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.

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

Thanks Billye!
 

I've only had two-3 plain old sonograms done on my thyroid, and one biopsy ages ago...each worse than the one before. So, I guess I got off easy? Even so, my thyroid sono's said my thyroid was shot, now totally shot. At least, for 90-95% of us the therapies are fairly easy with synthroid or other similar meds. Trick is to get the dosage JUST rite! It took me about 3 years of 'adjusting' to get things on track and stable. Then I got this silly CIDP and it went OFF again [recent tests show the thyroid got 'wholly and truly dead']. I think we are now on track again, but, one never knows truly....do they?
Roxie? Just cause it all seems scary and you feel like the pits, keep faith that things CAN and will be patched together right! It sounds like you have docs that are working hard for you and trying to solve all the problems you are having.... :hug:'s - j

HI! J, Billye, Mrs. D and all.......
Yes it's the Thyroid scan and I think I have to swallow a pill and then come back 2 days later for the hr and a half scan......that doesn't sound like fun!
Well that's interesting about the Glucophage med.....maybe that won't be the right one for me. I hope they figure out one that will help me.
It's a beautiful day here in Houston today. I just planted 2 Hunnisuckle Coral bushes (for humming birds) and 3 purple Passion bushes (for butterflies) All of them will grow on the trellis's we put up. I have Amaryllis in bloom right now and loving it!! I love spring!

Amaryllis?
 

What color? I love those sturdy bulbs! Treat them right and they can come back for years...not to mention the 'baby' bulbs.

Thyroid sono's in and of themselves are pretty boring...I've no experience with the more complex ones. I suppose I should be grateful? Dunno.
I've had other 'radioactive' tests and the only complicating thing I can think of about them is not to go thru a 'security scanner' while the stuffs in you? Maybe I'm mis-informed here but...

We've got a camellia that I'd planted over 25 years ago as a little twig[the bush] and is now a full flown BUSH! [not the political kind], and IT is glorious in bloom! Shortly after are the clematis and what humming-birds that are here? Well, they do go to town. Hummers are such totally deliteful creatures! I view them as tentative, yet strong. Kind of like us!

Hugs plus for now - j

Sounds like--
 

--with her bone and other problems, and with the presence of anti-thyroid peroxidase antibodies, they're looking for autoimmune thyroid conditions in Roxie's case by doing the thryoid scan:

http://www.nlm.nih.gov/medlineplus/e...cle/003829.htm

There is likely a suspicion of systemic metabolic disorder with her gastrointestinal transit situation, so they're also looking into the whole diabetic angle (that's what the C-peptide test is all about--it's a by-product of insulin production, and the higher level implies high insulin production, which would be conssitent with both insulin resistance and that hypoglycemic reading).

My suspicion, though, is that an insulin imbalance might be secondary to the gastrointestinal problems; and given that evidence of autoimmunity, I wonder if this might be a good time to test for celiac again . . .

Mrsd I was going to say dead ,didn't know how to say it in a polite way,but
guess it wouldn't matter..I'm having trouble with metformin got to call Dr.
Messing up liver.We got me off that and on that one with trouble V.
But I agree with Glenn read everything he has written.Then reread
everything,talk to a Dr.were tests were done..hugs to all,they pain
finnaly hitting me Sue

Hi Roxie:

Glad to see you are still with us... :) :) :) I actually thought they must have left off the first number...

If you are having a thyroid scan, it must be different than the one I had. Although I did have to swallow a capsule the day before and then return the next day for the nuclear scan, I don't recall it lasting an hour and a half...

Cathie

Wow... a capsule would be nice....
 

for my scan I had to have and IV radio isotope! I have hard to hit veins...
so it was not pleasant!