Worse before better?

Hi all

More questions:).

Just now starting to get on top of my diagnosis. Diagnosed one month ago fastin bg 260 A1c 10.4. This has been going on I think for over a yr or so and I had complications (bleeding retinas, leg cramps, vomiting, etc)

Anyway now on 1500 metformin XR for one month, numbers in the 130-180 fasting and post meal. I feel awful. My vision is worse, I’m confused and fuzzy. Any ideas? I’ve read symptoms can get worse once you true to get your numbers under control but I feel like hell. Told the doc this and she says I’m not eating enough. Huh? Eating the best I have in yrs.

My vision is the worst and I have constant headaches and dizziness. Ay thghts?

Thanks everyone.

A

I'm confused, your profile says you were diagnosed in 1974! Is that an error?

Not certain if this applies to your situation but someone whose body is used to high blood glucose levels, will, when meds start to lower the blood glucose into more normal levels, start to feel the symptoms of low blood glucose. I'm not a T2 so I can't speak from experience but I understand that fasting blood glucose in the 130-180 range is not normal. When I'm experiencing extended periods of high blood glucose, if feel terrible, even confused and fuzzy headed.

I know this can be hard with high-BG brain fog but, if it were me, I'd try to keep a daily log for a while. I'd write down time and strength of every med taken, everything that you eat including the time, quality, and quantity, as well as any exercise, and any other comments. After doing this for at least a week, I'd return to the doc and tell him/her that you're feeling miserable and you need to make some changes.

Many of us have discovered that we can't eat an unlimited amount of dietary carbohydrates. Do you know how many carbs you consume each day? The standard American diet includes anywhere from 200-300+ carbs per day. If you knew how many you consume now, perhaps you could cut back just a little and see what effect, if any, this has on your blood glucose. Be aware, however, that most doctors and dietitians would not agree with this tactic.

I know what persistent high BGs feel like and I hate it when I feel that way. In my experience, the doctors were not able to help me. I had to do the work and make the changes necessary to fix myself. I'm sure there are exceptional doctors out there and I hope that yours is one of them. Good luck and take care.

Lol yes I was BORN in 1974

I eat between 30-50 carbs a day. And I’m hungry all the time. It’s almost like my migraines are in over drive. I’m really confused. The dizziness and brain fog and headache are really crummy.

A

Oh, that explains it!!

Hi -

I'm tempted to respond to your post the way I usually do when someone reports lack of concern and a brushoff by their doctors - you need a new doctor.

But on a more practical level, I would try to make an appointment with an ophthalmologist to follow up on your continued vision problems. Your situation may be normal for someone slowly bringing down blood sugar levels but given that you've already had bleeding retinas you might want someone to take a closer look. At the very least, if yours is the normal pattern, you'll receive some reassurance from an expert.

My experience when I was first diagnosed is that it took some time for my vision to come back but it didn't get worse as I was gaining control. But then maybe I'm just blocking things out.

Do you wear glasses? I ask because I do wear glasses, and when my blood sugar came under control I could no longer see out of them. I'd had the same prescription for years, I thought my eyes were suddenly getting worse. Actually my eyes had improved so much the prescription was too strong. That was a treat. If you do have glasses and you have headaches and dizziness, a prescription that's too strong could affect that, especially if your glasses have a correction for astigmatism. We always assume the worst, and that's probably wise, but hopefully your eyes are just getting better.

After 41 years of both T1 diabetes and wearing glasses, I have finally been able to have "Requires Corrective Lenses" removed from my Drivers Permit. I was able to pass the eye test without glasses. Previously I could not identify a person's face across the room without glasses.

This occurred after 4 years of aggressive but steady improvement in my blood sugars. It wasn't until my A1c got into the low fives before my vision started to improve significantly. Damage to the blood vessels in my eyes has also been reversed.