amazed at dr's today

This morning I had to go with hubby to the dr. The other day he ripped
his shin open at work again.. Anyhow while we were there, I decided since
he was home during the day we should get our flu shots, so we did and I
came back home to get the kid to take her back to get her flu shot.

So we get there... after a 10min fight with a 19yr old acting 19mons old!
She finally lets the nurse give her the flu shot then asked me to get the
nurse to get her lab results she had drawn last week. So, after about a
10mins search throughout the office to find her chart... the nurse wouldn't
give us the results and as she was putting us in a room the dr. followed
us in. Well she went over Danni's lab results and well... thankfully her
TSH
in 2.5weeks time from switching from Synthroid to generic has dropped
from 64.8 to 6.343 which we'd told the dr that would happen and she was
amazed that it could drop that fast... her FT4/F3 are all smack in the mid
range (which they always are) she didn't do a new antibodies test nor did
she do a C-Peptide since that has to be done after a 14hr fast so she asked
us to come back next week one day just for those two tests to be done.
Then she looked at her hormone levels.. and OMG! her DHEA is 1792 when
ref range is 162-995, her Free Testosterone is within range and her Fasting
Insulin is at 139 (ref range: 0.0-29.1).

What concerned me even more then those results.. is that progressively I've
been watching this child's glucose and A1C slowly rise over the past 2yrs...
since I've really been monitoring it. I must be missing some spiking here
and
there.. her glucose the day of the test was almost 2hrs after she had
bfast..
which came back at 103... marked High (65-99) but even moreso.. her A1C
was 5.7 (4.5-5.7), which 5 months back it was 5.1!!! which clearly shows me
there are some major changes going on. Now sadly, our GP wasn't too
concerned about it until I explained the recent rise.. so she's also going
to be
keeping an eye on it as well. She's already on 2000mg of Metformin...
So, I reckon.. it's time, mommy tightened the ship for the sake of the kid.

But.. this proves my theory, that it IS obesity that triggers Type 2... not
the
other way around that I've seen some state here.

Lastly... the doctor did complement me... stating that I knew my "medical
info"
and that I should go back to school because I give her a run for my money...


--
Reisa, T1, Animas IR1250 Pumper
DX-5/00 ASD-7/00
A1C: 6.2% (8/24/06)
Daily CHO: 150-200gm
TDD: 34-38u

"rk" <p_haha_medium@gmail.com> wrote in message
news:MwJ9h.2885$ql2.2777@newsread3.news.pas.earthl ink.net...
> This morning I had to go with hubby to the dr. The other day he ripped
> his shin open at work again.. Anyhow while we were there, I decided since
> he was home during the day we should get our flu shots, so we did and I
> came back home to get the kid to take her back to get her flu shot.
>
> So we get there... after a 10min fight with a 19yr old acting 19mons old!
> She finally lets the nurse give her the flu shot then asked me to get the
> nurse to get her lab results she had drawn last week. So, after about a
> 10mins search throughout the office to find her chart... the nurse
wouldn't
> give us the results and as she was putting us in a room the dr. followed
> us in. Well she went over Danni's lab results and well... thankfully her
> TSH
> in 2.5weeks time from switching from Synthroid to generic has dropped
> from 64.8 to 6.343 which we'd told the dr that would happen and she was
> amazed that it could drop that fast... her FT4/F3 are all smack in the mid
> range (which they always are) she didn't do a new antibodies test nor did
> she do a C-Peptide since that has to be done after a 14hr fast so she
asked
> us to come back next week one day just for those two tests to be done.
> Then she looked at her hormone levels.. and OMG! her DHEA is 1792 when
> ref range is 162-995, her Free Testosterone is within range and her
Fasting
> Insulin is at 139 (ref range: 0.0-29.1).
>
> What concerned me even more then those results.. is that progressively
I've
> been watching this child's glucose and A1C slowly rise over the past
2yrs...
> since I've really been monitoring it. I must be missing some spiking here
> and
> there.. her glucose the day of the test was almost 2hrs after she had
> bfast..
> which came back at 103... marked High (65-99) but even moreso.. her A1C
> was 5.7 (4.5-5.7), which 5 months back it was 5.1!!! which clearly shows
me
> there are some major changes going on. Now sadly, our GP wasn't too
> concerned about it until I explained the recent rise.. so she's also going
> to be
> keeping an eye on it as well. She's already on 2000mg of Metformin...
> So, I reckon.. it's time, mommy tightened the ship for the sake of the
kid.
>
> But.. this proves my theory, that it IS obesity that triggers Type 2...
not
> the
> other way around that I've seen some state here.
>
> Lastly... the doctor did complement me... stating that I knew my "medical
> info"
> and that I should go back to school because I give her a run for my
money...
>

Not necessarily. If she has insulin resistance (and she likely does), this
could be the cause of excess weight. Also keep in mind that a thyroid
problem can affect BG.

--
See my webpage:
http://mysite.verizon.net/juliebove/index.htm

"Julie Bove" <juliebove@verizon.net> wrote in message
news:w9P9h.10342$_x3.7313@trndny02...
:
:
:
: "rk" <p_haha_medium@gmail.com> wrote in message
: news:MwJ9h.2885$ql2.2777@newsread3.news.pas.earthl ink.net...
: > This morning I had to go with hubby to the dr. The other day he ripped
: > his shin open at work again.. Anyhow while we were there, I decided
since
: > he was home during the day we should get our flu shots, so we did and I
: > came back home to get the kid to take her back to get her flu shot.
: >
: > So we get there... after a 10min fight with a 19yr old acting 19mons
old!
: > She finally lets the nurse give her the flu shot then asked me to get
the
: > nurse to get her lab results she had drawn last week. So, after about a
: > 10mins search throughout the office to find her chart... the nurse
: wouldn't
: > give us the results and as she was putting us in a room the dr. followed
: > us in. Well she went over Danni's lab results and well... thankfully
her
: > TSH
: > in 2.5weeks time from switching from Synthroid to generic has dropped
: > from 64.8 to 6.343 which we'd told the dr that would happen and she was
: > amazed that it could drop that fast... her FT4/F3 are all smack in the
mid
: > range (which they always are) she didn't do a new antibodies test nor
did
: > she do a C-Peptide since that has to be done after a 14hr fast so she
: asked
: > us to come back next week one day just for those two tests to be done.
: > Then she looked at her hormone levels.. and OMG! her DHEA is 1792 when
: > ref range is 162-995, her Free Testosterone is within range and her
: Fasting
: > Insulin is at 139 (ref range: 0.0-29.1).
: >
: > What concerned me even more then those results.. is that progressively
: I've
: > been watching this child's glucose and A1C slowly rise over the past
: 2yrs...
: > since I've really been monitoring it. I must be missing some spiking
here
: > and
: > there.. her glucose the day of the test was almost 2hrs after she had
: > bfast..
: > which came back at 103... marked High (65-99) but even moreso.. her A1C
: > was 5.7 (4.5-5.7), which 5 months back it was 5.1!!! which clearly shows
: me
: > there are some major changes going on. Now sadly, our GP wasn't too
: > concerned about it until I explained the recent rise.. so she's also
going
: > to be
: > keeping an eye on it as well. She's already on 2000mg of Metformin...
: > So, I reckon.. it's time, mommy tightened the ship for the sake of the
: kid.
: >
: > But.. this proves my theory, that it IS obesity that triggers Type 2...
: not
: > the
: > other way around that I've seen some state here.
: >
: > Lastly... the doctor did complement me... stating that I knew my
"medical
: > info"
: > and that I should go back to school because I give her a run for my
: money...
: >
:
: Not necessarily. If she has insulin resistance (and she likely does),
this
: could be the cause of excess weight. Also keep in mind that a thyroid
: problem can affect BG.
:
: --
: See my webpage:
: http://mysite.verizon.net/juliebove/index.htm
:
:

not necessarily what? I know for a fact she has IR. It's NOT the cause of
her weight AT ALL. Her thyroid is the cause of her weight. She's been
confirmed with 1600 antibodies for Hashi's over 3yrs ago. It's definately
a twofold issue, but I know for a fact that the weight was caused by her
thyroid then she developed the pcos which is causing her to keep the
weight on and with her high levels of DHEA states that it regulates the
bodies glucose system as well. not to dismiss your comments, but I've
had countless hours of research in understanding whats going on with
my kid along with the labs to prove everything I've determined to be
happening.

--
Reisa, T1, Animas IR1250 Pumper
DX-5/00 ASD-7/00
A1C: 6.2% (8/24/06)
Daily CHO: 150-200gm
TDD: 34-38u

rk wrote:
> "Julie Bove" <juliebove@verizon.net> wrote in message
> news:w9P9h.10342$_x3.7313@trndny02...
>:
>:
>:
>: "rk" <p_haha_medium@gmail.com> wrote in message
>:
news:MwJ9h.2885$ql2.2777@newsread3.news.pas.earthl ink.net...
>: > This morning I had to go with hubby to the dr. The
other day he
>: > ripped his shin open at work again.. Anyhow while we
were there, I
>: > decided since he was home during the day we should get
our flu
>: > shots, so we did and I came back home to get the kid to
take her
>: > back to get her flu shot.
>: >
>: > So we get there... after a 10min fight with a 19yr old
acting
>: > 19mons old! She finally lets the nurse give her the flu
shot then
>: > asked me to get the nurse to get her lab results she
had drawn
>: > last week. So, after about a 10mins search throughout
the office
>: > to find her chart... the nurse wouldn't give us the
results and as
>: > she was putting us in a room the dr. followed us in.
Well she
>: > went over Danni's lab results and well... thankfully
her TSH
>: > in 2.5weeks time from switching from Synthroid to
generic has
>: > dropped from 64.8 to 6.343 which we'd told the dr that
would
>: > happen and she was amazed that it could drop that
fast... her
>: > FT4/F3 are all smack in the mid range (which they
always are) she
>: > didn't do a new antibodies test nor did she do a
C-Peptide since
>: > that has to be done after a 14hr fast so she asked us
to come back
>: > next week one day just for those two tests to be done.
Then she
>: > looked at her hormone levels.. and OMG! her DHEA is
1792 when ref
>: > range is 162-995, her Free Testosterone is within range
and her
>: > Fasting Insulin is at 139 (ref range: 0.0-29.1).
>: >
>: > What concerned me even more then those results.. is
that
>: > progressively I've been watching this child's glucose
and A1C
>: > slowly rise over the past 2yrs... since I've really
been
>: > monitoring it. I must be missing some spiking here and
>: > there.. her glucose the day of the test was almost 2hrs
after she
>: > had bfast..
>: > which came back at 103... marked High (65-99) but even
moreso..
>: > her A1C was 5.7 (4.5-5.7), which 5 months back it was
5.1!!! which
>: > clearly shows me there are some major changes going on.
Now
>: > sadly, our GP wasn't too concerned about it until I
explained the
>: > recent rise.. so she's also going to be
>: > keeping an eye on it as well. She's already on 2000mg
of
>: > Metformin... So, I reckon.. it's time, mommy tightened
the ship
>: > for the sake of the kid.
>: >
>: > But.. this proves my theory, that it IS obesity that
triggers Type
>: > 2... not the
>: > other way around that I've seen some state here.
>: >
>: > Lastly... the doctor did complement me... stating that
I knew my
>: > "medical info"
>: > and that I should go back to school because I give her
a run for
>: > my money...
>:
>: Not necessarily. If she has insulin resistance (and she
likely
>: does), this could be the cause of excess weight. Also
keep in mind
>: that a thyroid problem can affect BG.
>:
>: --
>: See my webpage:
>: http://mysite.verizon.net/juliebove/index.htm
>:
>:
>
> not necessarily what? I know for a fact she has IR. It's
NOT the
> cause of her weight AT ALL. Her thyroid is the cause of
her weight.
> She's been confirmed with 1600 antibodies for Hashi's over
3yrs ago.
> It's definately a twofold issue, but I know for a fact
that the
> weight was caused by her thyroid then she developed the
pcos which is
> causing her to keep the weight on and with her high levels
of DHEA
> states that it regulates the bodies glucose system as
well. not to
> dismiss your comments, but I've had countless hours of
research in
> understanding whats going on with
> my kid along with the labs to prove everything I've
determined to be
> happening.

Apart from insulin reducing meds (the Metformin) what other
measures have you investigated for reducing insulin
resistance? Lsoing wieght is one of the best ways of
reducing IR, but until the thyroid levels have remained
normal for a while this will be a problem (but not always
insurmountable). Increasing muscle mass helps. This can be
easier if done with someone else, perhaps Mike can work with
her on that angle. Check out resistance training as well as
aerobic exercise. Cna you afford a gym?

Encouraging her to space her carbs out as well as eating low
GI foods can help enormously. It has the effect of having
the pancreas not release large amounts of insulin at one
time. Something people with IR need to avoid like the
plague. What are her eating habits? 3 meals a day? Or a lot
of small meals spaced out?

"Dietary Fiber
The amount of dietary fiber consumed is inversely related to
insulin levels.23 This observation may explain the lower
incidence of hypertension, hyperlipidemia and cardiovascular
disease among people with diets high in fiber. A diet high
in natural sources of fiber (e.g., whole grains and
vegetables) helps combat insulin resistance."

http://www.aafp.org/afp/20010315/1159.html

Has she had regular lipid panels and BP testing? If not, she
should have those to see if there is a pattern of rising
levels. Treating metabolic syndrome before a person becomes
a frank type 2 is better than shutting the gate after the
horse has bolted.

http://diabetes.niddk.nih.gov/dm/pub...linresistance/

That is a rather comprehensive overview of IR and it's
treatments.

rk wrote:
> But.. this proves my theory, that it IS obesity that triggers Type 2... not
> the other way around that I've seen some state here.

I suspect it's both ways, i.e., each worsens the other,
making a vicious cycle if allowed to continue.

--
Wes Groleau
"Would the prodigal have gone home if
the elder brother was running the farm?"
-- James Jordan

Wes,

I'm sure it does turn into a vicious cycle. But having watched
her go from very thin, very active with no health problems to
getting the flu at the same time as I did and I came down with
T1DM and then watching her slowly deterorate and then her
dx with Hashi's, gaining weight and now this..

--
Reisa, T1, Animas IR1250 Pumper
DX-5/00 ASD-7/00
A1C: 6.2% (8/24/06)
Daily CHO: 150-200gm
TDD: 34-38u
"Wes Groleau" <groleau+news@freeshell.org> wrote in message
news:UMZ9h.10882$9e.5871@trnddc02...
: rk wrote:
: > But.. this proves my theory, that it IS obesity that triggers Type 2...
not
: > the other way around that I've seen some state here.
:
: I suspect it's both ways, i.e., each worsens the other,
: making a vicious cycle if allowed to continue.
:
: --
: Wes Groleau
: "Would the prodigal have gone home if
: the elder brother was running the farm?"
: -- James Jordan

> rk wrote:
>> But.. this proves my theory, that it IS obesity that triggers Type 2...
>> not the other way around that I've seen some state here.

"Wes Groleau" <groleau+news@freeshell.org> wrote in message
news:UMZ9h.10882$9e.5871@trnddc02...
> I suspect it's both ways, i.e., each worsens the other,
> making a vicious cycle if allowed to continue.

I suspect it varies. For some, the weight gain may trigger the diabetes
which was lurking. For others, it may be the other way 'round.

For *me personally* -- I think it was a combination of weight gain,
inadequate physical activity (aka "too sedentary") + specific stress that
triggered *my* diabetes. There wasn't any family history to go on (so I
didn't know about any "dm gene" being around, even if I'd known how
important that might be) -- and none has emerged since my diagnosis either.
bj

"rk" <p_haha_medium@gmail.com> wrote in message
news:dNR9h.3009$sf5.2099@newsread4.news.pas.earthl ink.net...

> not necessarily what? I know for a fact she has IR. It's NOT the cause of
> her weight AT ALL. Her thyroid is the cause of her weight. She's been
> confirmed with 1600 antibodies for Hashi's over 3yrs ago. It's definately
> a twofold issue, but I know for a fact that the weight was caused by her
> thyroid then she developed the pcos which is causing her to keep the
> weight on and with her high levels of DHEA states that it regulates the
> bodies glucose system as well. not to dismiss your comments, but I've
> had countless hours of research in understanding whats going on with
> my kid along with the labs to prove everything I've determined to be
> happening.

You said obesity causes diabetes and not the other way around. I said it
may be the IR causing the obesity.

--
See my webpage:
http://mysite.verizon.net/juliebove/index.htm

"rk" <p_haha_medium@gmail.com> wrote in message
news:G3_9h.3727$1s6.2521@newsread2.news.pas.earthl ink.net...
> Wes,
>
> I'm sure it does turn into a vicious cycle. But having watched
> her go from very thin, very active with no health problems to
> getting the flu at the same time as I did and I came down with
> T1DM and then watching her slowly deterorate and then her
> dx with Hashi's, gaining weight and now this..

I went from being a very underweight child to a severely underweight teen
following an illness where I couldn't keep any food down. So underweight
that my Dr. was concerned. I was given a med that I was told was a vitamin
to pep up my appetite. I suspect it was not a vitamin, but I guess I'll
never know at this late date. All I know is that it did pep up my appetite
and I went from being severely underweight to normal weight very rapidly.
But then I continued to gain weight until I was overweight. I have
struggled ever since with my weight. Even though I do not overeat now, I am
still overweight. The weight is coming off, but very slowly and mostly in
the wrong places. My legs have shrunk down to nothing. My arms are just
skin, muscle and bone. And yet I still look pregnant.

--
See my webpage:
http://mysite.verizon.net/juliebove/index.htm