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Suggest Treatment For Vomiting, Headache And Mood Swings In A Diabetic Patient

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Posted on Mon, 16 Feb 2015
Question: I was diagnosed with Hypoglycemia Pre- diabetes about a decade ago after seeing a doctor about the symptoms I'd been experiencing. I was able to back off from the Pre- Diabetes with his help. As time has progressed, these symptoms seem to have been starting to worsen. A couple of weeks ago, I went through one of the worst episodes I ever have. My symptoms were : On Monday, I was hyper sensitive emotionally. On Tuesday morning, I was shaky and consumed high protein milk along with a cereal bar. I had a tuna sandwich about 6 hours later but spent most of the day not feeling " right " . Tuesday night I went through about an hour of violent, near non - stop vomiting. I had no cramping or other signs of the flu or food poisoning... I've had headaches and mood changes / forgetfulness, I see the doctor on Tuesday. My question is : my last A1C was 4.5 according to the doctor, I was a little on the low side. Is she accurate or no ? I'm so confused about what's normal and what's not. My blood meter results are varied and I'm not sure they're 100% accurate. I've dropped down to 76 ( had headache, felt hazy and blurred vision ) and been as high as 211 ( tried to fall asleep at work ). Please help !
Another set of symptoms I feel maybe I should mention : I've had trouble sleeping, waking up , had nausea , fast heart rate, stress / anxiety, hair matted to head, cloudy / hazy vision.....
doctor
Answered by Dr. Noble Zachariah (52 minutes later)
Brief Answer:
Not diabetes, likely to be stress related

Detailed Answer:
Hello,
Welcome to HCM and thanks for your query.
I understand your concern.
The normal blood sugar is 70 to 100 mg fasting and 90 to 140 mg 2 hrs after food. Fasting blood sugar above 126 and post prandial 200 and above is diabetes. In between is pre diabetes.
HbA1c is related to your average blood sugar over the past 3 months. Normal is below 5.6 %. Diabetes is 6.5 and above.
By these criteria, you do not have diabetes now.
Your symptoms sound stress related. Do you have any emotional stress. In a prone person, stress can spike blood sugar and that would explain your reading over 200.
Take care ,
Dr Noble Zachariah
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (7 minutes later)
Could this be a combination of stress and my hypoglycemia flaring back up ? I have had some sudden changes happen in my life recently but nothing that could be considered " bad ". I work two jobs and, admittedly, my diet wasn't the best over the holidays.
doctor
Answered by Dr. Noble Zachariah (6 minutes later)
Brief Answer:
It is a reactive hypoglycemia, stress related

Detailed Answer:
You have a reactive hypoglycemia .When you have a high GI food, your blood sugar goes high. The body tries to correct it through secreting more insulin. But sometimes there is over correction and you develop hypoglycemia. This can be stress related.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (2 minutes later)
Thank you....that makes sense .
doctor
Answered by Dr. Noble Zachariah (3 minutes later)
Brief Answer:
Welcome

Detailed Answer:
You are most welcome.
I shall be happy to answer any further queries in the future.
You would also find useful information at
Www.drnoblezachariah.com
Take care, Have a great day
Dr Noble Zachariah
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Suggest Treatment For Vomiting, Headache And Mood Swings In A Diabetic Patient

Brief Answer: Not diabetes, likely to be stress related Detailed Answer: Hello, Welcome to HCM and thanks for your query. I understand your concern. The normal blood sugar is 70 to 100 mg fasting and 90 to 140 mg 2 hrs after food. Fasting blood sugar above 126 and post prandial 200 and above is diabetes. In between is pre diabetes. HbA1c is related to your average blood sugar over the past 3 months. Normal is below 5.6 %. Diabetes is 6.5 and above. By these criteria, you do not have diabetes now. Your symptoms sound stress related. Do you have any emotional stress. In a prone person, stress can spike blood sugar and that would explain your reading over 200. Take care , Dr Noble Zachariah