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Recovering from hypoglycemia
  1. #1
    Kurt Guest

    Default Recovering from hypoglycemia

    http://diabetes.org/tipoftheday.jsp?...s=233521549807

    Question:
    How long does it take me to recover from an episode of severe
    hypoglycemia?

    Answer:
    Low blood glucose levels can affect your ability to think clearly,
    because your brain does not work normally when it's not receiving
    enough glucose. The good news is that your brain function usually
    returns to normal after your low blood glucose is treated. Studies
    have shown that if you're practicing intensive diabetes management,
    frequent hypoglycemia does not cause any permanent brain damage.
    Researchers recently studied brain function before and after severe
    hypoglycemia. They found that brain function generally returns to
    normal within 36 hours of a severe hypoglycemic attack. However, they
    also found that patients with frequent hypoglycemia were more likely
    to suffer from extreme mood changes, such as depression, though
    whether or not frequent hypoglycemia causes these changes is still
    unclear. You should also be aware that prolonged or severe
    hypoglycemia that is untreated can cause permanent brain damage or
    lead to a coma.


  2. #2
    bobd Guest

    Default Re: Recovering from hypoglycemia

    On 26 May 2007 18:06:22 -0700, Kurt wrote:

    > http://diabetes.org/tipoftheday.jsp?...s=233521549807
    >
    > Question:
    > How long does it take me to recover from an episode of severe
    > hypoglycemia?
    >
    > Answer:
    > Low blood glucose levels can affect your ability to think clearly,
    > because your brain does not work normally when it's not receiving
    > enough glucose. The good news is that your brain function usually
    > returns to normal after your low blood glucose is treated. Studies
    > have shown that if you're practicing intensive diabetes management,
    > frequent hypoglycemia does not cause any permanent brain damage.
    > Researchers recently studied brain function before and after severe
    > hypoglycemia. They found that brain function generally returns to
    > normal within 36 hours of a severe hypoglycemic attack. However, they
    > also found that patients with frequent hypoglycemia were more likely
    > to suffer from extreme mood changes, such as depression, though
    > whether or not frequent hypoglycemia causes these changes is still
    > unclear. You should also be aware that prolonged or severe
    > hypoglycemia that is untreated can cause permanent brain damage or
    > lead to a coma.


    I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    It seemd my BG creeps down in the afternoon-I think I had better start some
    kind of snack routine. I feel OK, no more confused than usual :-) I was a
    little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    doctor friend said that the glyburide hits it's peak about 4 hours after
    taking, which would be around 12:30 1 PM most days. I will see what the
    family doc says, and of course value all of your opinions.

    Here's what's happening:

    1 1782 5/21/2007 10:20:00 AM 5.2 before breakfas
    1 1783 5/21/2007 4:40:00 PM 5.6
    1 1784 5/21/2007 10:24:00 PM 7.5 2 hours after s
    1 1785 5/22/2007 8:30:00 AM 5.8 before breakfas
    1 1786 5/22/2007 9:00:00 PM 5.4 1 hour after su
    1 1787 5/23/2007 8:15:00 AM 5.1 before breakfas
    1 1788 5/23/2007 6:40:00 PM 3.3 before supper
    1 1789 5/23/2007 7:40:00 PM 6 1 hour after su
    1 1790 5/24/2007 8:15:00 AM 5.2 before breakfas
    1 1791 5/24/2007 8:45:00 PM 4.9 before supper
    1 1792 5/25/2007 8:25:00 AM 4.8 before breakfas
    1 1793 5/25/2007 6:30:00 PM 4.2 before supper
    1 1794 5/25/2007 10:00:00 PM 2.7 2 hours after s
    1 1795 5/25/2007 10:40:00 PM 6.7
    1 1796 5/26/2007 12:21:00 AM 5.7
    1 1797 5/26/2007 8:45:00 AM 4.8 before breakfas
    1 1798 5/26/2007 8:25:00 PM 5.3 1 hour after su
    1 1799 5/26/2007 1:43:00 PM 3.8
    1 1800 5/26/2007 5:51:00 PM 2.9 before supper
    1 1801 5/26/2007 10:23:00 PM 6.3

    Thx;

    bobd

  3. #3
    [email protected] Guest

    Default Re: Recovering from hypoglycemia

    On May 26, 10:36 pm, bobd <mer...@videotron.ca> wrote:
    > On 26 May 2007 18:06:22 -0700, Kurt wrote:
    >
    >
    >
    >
    >
    > >http://diabetes.org/tipoftheday.jsp?...theday&vms=233...

    >
    > > Question:
    > > How long does it take me to recover from an episode of severe
    > > hypoglycemia?

    >
    > > Answer:
    > > Low blood glucose levels can affect your ability to think clearly,
    > > because your brain does not work normally when it's not receiving
    > > enough glucose. The good news is that your brain function usually
    > > returns to normal after your low blood glucose is treated. Studies
    > > have shown that if you're practicing intensive diabetes management,
    > > frequent hypoglycemia does not cause any permanent brain damage.
    > > Researchers recently studied brain function before and after severe
    > > hypoglycemia. They found that brain function generally returns to
    > > normal within 36 hours of a severe hypoglycemic attack. However, they
    > > also found that patients with frequent hypoglycemia were more likely
    > > to suffer from extreme mood changes, such as depression, though
    > > whether or not frequent hypoglycemia causes these changes is still
    > > unclear. You should also be aware that prolonged or severe
    > > hypoglycemia that is untreated can cause permanent brain damage or
    > > lead to a coma.

    >
    > I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    > It seemd my BG creeps down in the afternoon-I think I had better start some
    > kind of snack routine. I feel OK, no more confused than usual :-) I was a
    > little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    > doctor friend said that the glyburide hits it's peak about 4 hours after
    > taking, which would be around 12:30 1 PM most days. I will see what the
    > family doc says, and of course value all of your opinions.
    >
    > Here's what's happening:
    >
    > 1 1782 5/21/2007 10:20:00 AM 5.2 before breakfas
    > 1 1783 5/21/2007 4:40:00 PM 5.6
    > 1 1784 5/21/2007 10:24:00 PM 7.5 2 hours after s
    > 1 1785 5/22/2007 8:30:00 AM 5.8 before breakfas
    > 1 1786 5/22/2007 9:00:00 PM 5.4 1 hour after su
    > 1 1787 5/23/2007 8:15:00 AM 5.1 before breakfas
    > 1 1788 5/23/2007 6:40:00 PM 3.3 before supper
    > 1 1789 5/23/2007 7:40:00 PM 6 1 hour after su
    > 1 1790 5/24/2007 8:15:00 AM 5.2 before breakfas
    > 1 1791 5/24/2007 8:45:00 PM 4.9 before supper
    > 1 1792 5/25/2007 8:25:00 AM 4.8 before breakfas
    > 1 1793 5/25/2007 6:30:00 PM 4.2 before supper
    > 1 1794 5/25/2007 10:00:00 PM 2.7 2 hours after s
    > 1 1795 5/25/2007 10:40:00 PM 6.7
    > 1 1796 5/26/2007 12:21:00 AM 5.7
    > 1 1797 5/26/2007 8:45:00 AM 4.8 before breakfas
    > 1 1798 5/26/2007 8:25:00 PM 5.3 1 hour after su
    > 1 1799 5/26/2007 1:43:00 PM 3.8
    > 1 1800 5/26/2007 5:51:00 PM 2.9 before supper
    > 1 1801 5/26/2007 10:23:00 PM 6.3
    >
    > Thx;
    >
    > bobd - Hide quoted text -
    >
    > - Show quoted text -


    Thats nice.


  4. #4
    John101 Guest

    Default Re: Recovering from hypoglycemia

    [[ This message was both posted and mailed: see
    the "To," "Cc," and "Newsgroups" headers for details. ]]

    In article <s4606rf4y3zy$.[email protected]>, bobd
    <[email protected]> wrote:

    > 1x5 gylburide


    FWIW I am 2 x 2.5 glyburide taken before breakfast, and before dinner.

    Original instructions were to split the 5 mg pill and take the halves
    before breakfast and dinner.

    Pharmacist issued 2.5 mg pills instead of the 5 mg pill upon reading
    the prescription. No problems with lows, YMMV.

    --
    To reply, substitute .com for .invalid in address, i.e., john.101a (at)
    *yahoo.com

  5. #5
    John101 Guest

    Default Re: Recovering from hypoglycemia

    [[ This message was both posted and mailed: see
    the "To," "Cc," and "Newsgroups" headers for details. ]]

    From http://www.peru.k12.in.us/PJHS/Teach...200/glybur.htm

    4. DOSAGE INTERVAL
    Once-a-day therapy is usually satisfactory, based upon usual meal
    patterns and a 10 hour half-life of Glyburide. Some patients,
    particularly those receiving more than 10 mg daily, may have a more
    satisfactory response with twice-a-day dosage.

    --
    To reply, substitute .com for .invalid in address, i.e., john.101a (at)
    *yahoo.com

  6. #6
    Nicky Guest

    Default Re: Recovering from hypoglycemia

    On Sat, 26 May 2007 22:36:13 -0400, bobd <[email protected]> wrote:

    >I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    >It seemd my BG creeps down in the afternoon-I think I had better start some
    >kind of snack routine. I feel OK, no more confused than usual :-) I was a
    >little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    >doctor friend said that the glyburide hits it's peak about 4 hours after
    >taking, which would be around 12:30 1 PM most days. I will see what the
    >family doc says, and of course value all of your opinions.


    I wonder if you still need all that glyburide. John's suggestion for
    splitting them is interesting...

    I generally don't like the idea of sulphs, though; I can't see the
    point in flogging dead beta cells to produce extra insulin,
    particularly as you're getting lows. If it were me, I'd rather up the
    metformin dose to tackle insulin resistance than take the glyburide.

    Nicky.
    T2 dx 05/04 + underactive thyroid
    D&E, 100ug thyroxine
    Last A1c 5.5% BMI 25

  7. #7
    Andrew B. Chung, MD/PhD Guest

    Default Re: Recovering from hypoglycemia

    However, each episode of hypoglycemia can trigger coronary plaque
    rupture leading to acute coronary syndrome (ie heart attack).

    May GOD bless you in HIS mighty way.

    Prayerfully in Jesus' awesome love,

    Andrew <><
    --
    Andrew B. Chung, MD/PhD
    http://EmoryCardiology.com

    "Unlike the 2PD-OMER Approach, weight loss diets can't be combined
    with well-balanced diets."
    http://HeartMDPhD.com/Love/TheTruth


    Kurt wrote:
    > http://diabetes.org/tipoftheday.jsp?...s=233521549807
    >
    > Question:
    > How long does it take me to recover from an episode of severe
    > hypoglycemia?
    >
    > Answer:
    > Low blood glucose levels can affect your ability to think clearly,
    > because your brain does not work normally when it's not receiving
    > enough glucose. The good news is that your brain function usually
    > returns to normal after your low blood glucose is treated. Studies
    > have shown that if you're practicing intensive diabetes management,
    > frequent hypoglycemia does not cause any permanent brain damage.
    > Researchers recently studied brain function before and after severe
    > hypoglycemia. They found that brain function generally returns to
    > normal within 36 hours of a severe hypoglycemic attack. However, they
    > also found that patients with frequent hypoglycemia were more likely
    > to suffer from extreme mood changes, such as depression, though
    > whether or not frequent hypoglycemia causes these changes is still
    > unclear. You should also be aware that prolonged or severe
    > hypoglycemia that is untreated can cause permanent brain damage or
    > lead to a coma.



  8. #8
    W. Baker Guest

    Default Re: Recovering from hypoglycemia

    Nicky <[email protected]> wrote:
    : On Sat, 26 May 2007 22:36:13 -0400, bobd <[email protected]> wrote:

    : >I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    : >It seemd my BG creeps down in the afternoon-I think I had better start some
    : >kind of snack routine. I feel OK, no more confused than usual :-) I was a
    : >little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    : >doctor friend said that the glyburide hits it's peak about 4 hours after
    : >taking, which would be around 12:30 1 PM most days. I will see what the
    : >family doc says, and of course value all of your opinions.

    : I wonder if you still need all that glyburide. John's suggestion for
    : splitting them is interesting...

    : I generally don't like the idea of sulphs, though; I can't see the
    : point in flogging dead beta cells to produce extra insulin,
    : particularly as you're getting lows. If it were me, I'd rather up the
    : metformin dose to tackle insulin resistance than take the glyburide.

    : Nicky.

    Do you eat lunch? As your before dinner numbers are often so low, it
    might mean you need, eiter to eat lunch, or idf you do already, take a
    small a fternoon snack.

    Nicky's thought about the amount of glyburide sounds right to me too.

    Wendy

  9. #9
    bobd Guest

    Default Re: Recovering from hypoglycemia

    On Sun, 27 May 2007 15:54:10 +0000 (UTC), W. Baker wrote:

    > Nicky <[email protected]> wrote:
    >: On Sat, 26 May 2007 22:36:13 -0400, bobd <[email protected]> wrote:
    >
    >:>I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    >:>It seemd my BG creeps down in the afternoon-I think I had better start some
    >:>kind of snack routine. I feel OK, no more confused than usual :-) I was a
    >:>little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    >:>doctor friend said that the glyburide hits it's peak about 4 hours after
    >:>taking, which would be around 12:30 1 PM most days. I will see what the
    >:>family doc says, and of course value all of your opinions.
    >
    >: I wonder if you still need all that glyburide. John's suggestion for
    >: splitting them is interesting...
    >
    >: I generally don't like the idea of sulphs, though; I can't see the
    >: point in flogging dead beta cells to produce extra insulin,
    >: particularly as you're getting lows. If it were me, I'd rather up the
    >: metformin dose to tackle insulin resistance than take the glyburide.
    >
    >: Nicky.
    >
    > Do you eat lunch? As your before dinner numbers are often so low, it
    > might mean you need, eiter to eat lunch, or idf you do already, take a
    > small a fternoon snack.
    >
    > Nicky's thought about the amount of glyburide sounds right to me too.
    >
    > Wendy


    Thanks to all for the counsel. Yes I do eat lunch, but sometimes not till
    2-3 PM some days. I am going to change this to earlier, and add the snack.
    I tried the half pill this morning, and forgot to take a metformin at
    supper and here is what today was like:

    5.4 or 90 before breakfast
    6.3 or 112 before supper
    4.7 at 9:20 PM

    Snack of 2 toast with marmalade and waffle with cream cheese after the 4.7.
    Also, I have been adding a desert since I saw those lows, really not
    holding back, actually. Still learning. I thinkI respond pretty well to
    the addition of 1/2 hour brisk walk every morning, and no more sugar
    snacks.

    See you later, and thanks;

    bobd

  10. #10
    W. Baker Guest

    Default Re: Recovering from hypoglycemia

    bobd <[email protected]> wrote:
    : On Sun, 27 May 2007 15:54:10 +0000 (UTC), W. Baker wrote:

    : > Nicky <[email protected]> wrote:
    : >: On Sat, 26 May 2007 22:36:13 -0400, bobd <[email protected]> wrote:
    : >
    : >:>I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    : >:>It seemd my BG creeps down in the afternoon-I think I had better start some
    : >:>kind of snack routine. I feel OK, no more confused than usual :-) I was a
    : >:>little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    : >:>doctor friend said that the glyburide hits it's peak about 4 hours after
    : >:>taking, which would be around 12:30 1 PM most days. I will see what the
    : >:>family doc says, and of course value all of your opinions.
    : >
    : >: I wonder if you still need all that glyburide. John's suggestion for
    : >: splitting them is interesting...
    : >
    : >: I generally don't like the idea of sulphs, though; I can't see the
    : >: point in flogging dead beta cells to produce extra insulin,
    : >: particularly as you're getting lows. If it were me, I'd rather up the
    : >: metformin dose to tackle insulin resistance than take the glyburide.
    : >
    : >: Nicky.
    : >
    : > Do you eat lunch? As your before dinner numbers are often so low, it
    : > might mean you need, eiter to eat lunch, or idf you do already, take a
    : > small a fternoon snack.
    : >
    : > Nicky's thought about the amount of glyburide sounds right to me too.
    : >
    : > Wendy

    : Thanks to all for the counsel. Yes I do eat lunch, but sometimes not till
    : 2-3 PM some days. I am going to change this to earlier, and add the snack.
    : I tried the half pill this morning, and forgot to take a metformin at
    : supper and here is what today was like:

    : 5.4 or 90 before breakfast
    : 6.3 or 112 before supper
    : 4.7 at 9:20 PM

    : Snack of 2 toast with marmalade and waffle with cream cheese after the 4.7.
    : Also, I have been adding a desert since I saw those lows, really not
    : holding back, actually. Still learning. I thinkI respond pretty well to
    : the addition of 1/2 hour brisk walk every morning, and no more sugar
    : snacks.

    : See you later, and thanks;

    : bobd

    Wow! That is some snack, carbwise. Only the cream cheese is not a fast
    acting carb. tht woudl send me spiking to the moon!!! I assume, as you
    didn't specify, that the marmalade was regula sugar swetened stuff and the
    waffle a regular one, not some kind of reduced carb home made kind.
    How long ws it between the snack and your dinner? If not much more than 2
    hours, then I would think you are taking too much glyburide, which is
    pushing out more insulin than you need adn unnecessarily working the beta
    cells. I don't know if you have a issue with weight, but having to eat
    that many extra calories for a snack to prevent a low would be difficult
    if you are tryng to control or loose weight. It is called havignto eat
    to your meds, which is not a great idea.

    Good luck to you on getting all this worked out, and keep us informed. We
    are not Docs, but have much cumulative experience here tht might help you.

    Wendy



  11. #11
    bobd Guest

    Default Re: Recovering from hypoglycemia

    On Mon, 28 May 2007 15:29:18 +0000 (UTC), W. Baker wrote:

    > bobd <[email protected]> wrote:
    >: On Sun, 27 May 2007 15:54:10 +0000 (UTC), W. Baker wrote:
    >
    >:> Nicky <[email protected]> wrote:
    >:>: On Sat, 26 May 2007 22:36:13 -0400, bobd <[email protected]> wrote:
    >:>
    >:>:>I have been having trouble with lows. (1x5 gylburide and 2x500 metformin)
    >:>:>It seemd my BG creeps down in the afternoon-I think I had better start some
    >:>:>kind of snack routine. I feel OK, no more confused than usual :-) I was a
    >:>:>little upset when I hit 2.7 or 48.6 2 hours after supper yesterday. My
    >:>:>doctor friend said that the glyburide hits it's peak about 4 hours after
    >:>:>taking, which would be around 12:30 1 PM most days. I will see what the
    >:>:>family doc says, and of course value all of your opinions.
    >:>
    >:>: I wonder if you still need all that glyburide. John's suggestion for
    >:>: splitting them is interesting...
    >:>
    >:>: I generally don't like the idea of sulphs, though; I can't see the
    >:>: point in flogging dead beta cells to produce extra insulin,
    >:>: particularly as you're getting lows. If it were me, I'd rather up the
    >:>: metformin dose to tackle insulin resistance than take the glyburide.
    >:>
    >:>: Nicky.
    >:>
    >:> Do you eat lunch? As your before dinner numbers are often so low, it
    >:> might mean you need, eiter to eat lunch, or idf you do already, take a
    >:> small a fternoon snack.
    >:>
    >:> Nicky's thought about the amount of glyburide sounds right to me too.
    >:>
    >:> Wendy
    >
    >: Thanks to all for the counsel. Yes I do eat lunch, but sometimes not till
    >: 2-3 PM some days. I am going to change this to earlier, and add the snack.
    >: I tried the half pill this morning, and forgot to take a metformin at
    >: supper and here is what today was like:
    >
    >: 5.4 or 90 before breakfast
    >: 6.3 or 112 before supper
    >: 4.7 at 9:20 PM
    >
    >: Snack of 2 toast with marmalade and waffle with cream cheese after the 4.7.
    >: Also, I have been adding a desert since I saw those lows, really not
    >: holding back, actually. Still learning. I thinkI respond pretty well to
    >: the addition of 1/2 hour brisk walk every morning, and no more sugar
    >: snacks.
    >
    >: See you later, and thanks;
    >
    >: bobd
    >
    > Wow! That is some snack, carbwise. Only the cream cheese is not a fast
    > acting carb. tht woudl send me spiking to the moon!!! I assume, as you
    > didn't specify, that the marmalade was regula sugar swetened stuff and the
    > waffle a regular one, not some kind of reduced carb home made kind.
    > How long ws it between the snack and your dinner? If not much more than 2
    > hours, then I would think you are taking too much glyburide, which is
    > pushing out more insulin than you need adn unnecessarily working the beta
    > cells. I don't know if you have a issue with weight, but having to eat
    > that many extra calories for a snack to prevent a low would be difficult
    > if you are tryng to control or loose weight. It is called havignto eat
    > to your meds, which is not a great idea.
    >
    > Good luck to you on getting all this worked out, and keep us informed. We
    > are not Docs, but have much cumulative experience here tht might help you.
    >
    > Wendy


    The snack put me up to 170 (9.5) before bed. Oops, that was my biggest
    spike since diagnosis. Ya, that was all the regular stuff. BTW, this was
    a day with 1/2 glyburide pill, and I forgot the metformin at supper. Then
    this morning, I was back to 90 something (5.3). I am 6'4" 256 lbs, a
    little round in the middle. I had thought about the eating to the meds
    thing. I'll stick with the 1x5 glyburide till I see the doc.

    Shucks, I KNOW I was low again today in the afternoon after having eaten an
    early lunch. Just kind of felt it, ya know?

    Thanks!

    bobd

  12. #12
    Nicky Guest

    Default Re: Recovering from hypoglycemia

    On Mon, 28 May 2007 23:33:33 -0400, bobd <[email protected]> wrote:

    >I'll stick with the 1x5 glyburide till I see the doc.


    Hope that's not too long, Bob. Right now you don't sound like a safe
    driving candidate...

    Nicky.
    T2 dx 05/04 + underactive thyroid
    D&E, 100ug thyroxine
    Last A1c 5.5% BMI 25

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