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Old 06-01-2022, 06:05 PM
 
Location: Bergen County, New Jersey
12,162 posts, read 8,002,089 times
Reputation: 10134

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You are very helpful. I appreciate everything Medical Lab.

My speech is really bad, im getting weaker. Im just in bed rigbt now i have a great support system and appreciate all of you. I know i may sound all over the place but im just nervous. Im definitely not 100% there

Last edited by masssachoicetts; 06-01-2022 at 06:13 PM..
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Old 06-01-2022, 07:11 PM
 
Location: San Francisco Bay Area
7,709 posts, read 5,452,962 times
Reputation: 16234
Re Hemoglobin A1C blood test:


"Diagnosing Prediabetes or Diabetes

A normal A1C level is below 5.7%,
a level of 5.7% to 6.4% indicates pre diabetes,
and a level of 6.5% or more indicates diabetes.

Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes."

https://www.cdc.gov/diabetes/managin...sugar/a1c.html


Lots of good information from the Mayo Clinic here:
https://www.mayoclinic.org/tests-pro...t/pac-20384643
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Old 06-01-2022, 07:33 PM
 
Location: San Diego, California
1,147 posts, read 861,964 times
Reputation: 3503
Quote:
Originally Posted by SFBayBoomer View Post
Re Hemoglobin A1C blood test:


"Diagnosing Prediabetes or Diabetes

A normal A1C level is below 5.7%,
a level of 5.7% to 6.4% indicates pre diabetes,
and a level of 6.5% or more indicates diabetes.

Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes."

https://www.cdc.gov/diabetes/managin...sugar/a1c.html


Lots of good information from the Mayo Clinic here:
https://www.mayoclinic.org/tests-pro...t/pac-20384643
Here's not feeling well right now. We all hope for the best with this young man. Maybe when he is feeling better he is welcome to come back here for support and help.
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Old 06-02-2022, 12:55 PM
 
Location: State of Transition
102,203 posts, read 107,859,557 times
Reputation: 116113
Quote:
Originally Posted by masssachoicetts View Post
I had to go to the ER today because i passed out in my friends yard. Like full on hit my head on his table. Same thing as last night. I walk a bit. Get dilarious. Start slurring my speech. Then am unaware of my surroundings. Friend drove me and said (i was not with it..) i was not comprehending anything.

Abdominal pain have gotten a lot worse.

They did blood work, ekg, urine and an xray…. All came back normal? My glucose was 103 but my blood pressure was 181/110 when i went in. It lowered to about 128/90 (normal) about an hour later.

They discharged me after giving me IV. They have no idea what was going on. They said it possibly could have been dehydration.. but they arent sure because that wouldnt explain all symptoms even after my IVs. Told me to consult my primary and go to a specialist. Im disappointed because I wanted an answer. I have less answers.

Im at a loss. I dont think its diabetes im not sure what it is. All i know, in the last 24 hours my cramps in my abdomen and sides have gotten worse. I cant even sit. These symptoms have become more prominent to the still existing symptoms like hunger/thirst/bathroom breaks.

Im not sure what to do. Il reach out to my PCP.
OP, I'm not impressed with your PCP. If your insurance doesn't require a referral from your PCP, you can make an appointment with an endocrinologist yourself. The only problem is, that they usually schedule new patients farther out, and you're an urgent case. So you'll have to find one that can take you next week, say. Or maybe now that you've passed out and been to the ER, the PCP will finally take your case more seriously, and will run more tests, or will refer you to a specialist.

In the meantime, what are you doing with your diet? While you wait for another doctor appointment, begin the low carb diet, and see if that alleviates any symptoms.

Why was your blood sugar at 103 on the latest trip to the ER? What had you been eating that day? As you can see, diet is key.

I hope you have help at home or through friends. Maybe someone could do some grocery shopping for you. Someone should be checking in on you, by phone at the very least, a few times a day, in case you pass out at home. You could have a sudden emergency, and no one would know, otherwise.

Yikes! Please stay in touch. We're standing by.
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Old 06-02-2022, 02:18 PM
 
Location: San Diego, California
1,147 posts, read 861,964 times
Reputation: 3503
Quote:
Originally Posted by Ruth4Truth View Post
OP, I'm not impressed with your PCP. If your insurance doesn't require a referral from your PCP, you can make an appointment with an endocrinologist yourself. The only problem is, that they usually schedule new patients farther out, and you're an urgent case. So you'll have to find one that can take you next week, say. Or maybe now that you've passed out and been to the ER, the PCP will finally take your case more seriously, and will run more tests, or will refer you to a specialist.

In the meantime, what are you doing with your diet? While you wait for another doctor appointment, begin the low carb diet, and see if that alleviates any symptoms.

Why was your blood sugar at 103 on the latest trip to the ER? What had you been eating that day? As you can see, diet is key.

I hope you have help at home or through friends. Maybe someone could do some grocery shopping for you. Someone should be checking in on you, by phone at the very least, a few times a day, in case you pass out at home. You could have a sudden emergency, and no one would know, otherwise.

Yikes! Please stay in touch. We're standing by.
I think you missed the last comments by the OP at the end of the previous page. They went back to the PCP and he finally reviewed all the information in front of him and came back with a preliminary diagnosis of MS and referred them to a neurologist.

The problem that we have is that doctors must still be doctors and rely on symptoms to determine the differential diagnosis. I have a lot of trouble trying to figure out what is going on with people and in most of my posts, I try to educate the patient about what the doctor is saying. The doctor is my eyes and ears and I rely on them for the clinical interpretation and what is going on. I can tie what is going on with symptoms to laboratory tests in evaluating subjective symptoms. Unfortunately, most people think that general tests like CBC and chemistry panels, and urinalysis will tell them what is wrong with them. When all the tests are normal then everybody tends to relax especially if testing was done under the context of an annual physical and one concerned with glucose and or hypertension. Some tests were only slightly abnormal which diverted a lot of the attention them which were deadends. Most neurological disorders will not show up with general lab work including stroke. Most cancers do not show up with general lab work. This is where it is essential that doctors must be doctors in order to come up with the proper differential diagnosis. There are thousands of clinical laboratory tests out there but the doctor must still rely on symptom-based medicine.

There was no polyuria from excess urine production but an urgency incontinence where he had bladder control problems indicating a neurological side effect.

The OP thanked us all for trying to help him. You and I and others here were concerned because of the lack of attention initially given to him by the PCP and the ER doctors and appropriately so. He acted properly and promptly to get a re-evaluation.

He needs to rest up. Neurologists are internists and so he will be in good hands.
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Old 06-02-2022, 05:46 PM
 
Location: State of Transition
102,203 posts, read 107,859,557 times
Reputation: 116113
Quote:
Originally Posted by Medical Lab Guy View Post
I think you missed the last comments by the OP at the end of the previous page. They went back to the PCP and he finally reviewed all the information in front of him and came back with a preliminary diagnosis of MS and referred them to a neurologist.
Wow, I see! Thanks for tipping me off. I went back and read that post. Slurred speech, and the stomach cramps--def. not related to diabetes, but the slurred speech especially, does sound potentially neurological.

Well, at least the OP got a diagnosis! And the good news is, he doesn't have diabetes. But he should watch that, and get an A1C test regularly anyway.

I've come across reference to new treatments for MS. The field sounds promising.

Best wishes to the OP.
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Old 06-03-2022, 05:39 AM
 
Location: Bergen County, New Jersey
12,162 posts, read 8,002,089 times
Reputation: 10134
Back in ER after i completely lost use of my right side yesterday morning. Im here overnight. Symptoms dramatically got worse and older symptoms remain. They did a CAT Scan and MRI of head and neck. Cat scan came back normal but MRI results are not in.

About three doctors have seen me and I supposedly miserably failed their quick neuro tests. Horrid stutter. However… it seems better in the morning, always. It will get gradually worse.

We shall see.
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Old 06-03-2022, 06:00 AM
 
10,864 posts, read 6,474,875 times
Reputation: 7959
could this be a stroke??
if he is not diabetic,how do you explain his hunger and peeing?
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Old 06-03-2022, 06:53 AM
 
Location: Bergen County, New Jersey
12,162 posts, read 8,002,089 times
Reputation: 10134
My MRI results came back normal, no lesions. Ruled out MS
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Old 06-03-2022, 08:46 AM
 
Location: San Diego, California
1,147 posts, read 861,964 times
Reputation: 3503
Quote:
Originally Posted by mojo101 View Post
could this be a stroke??
if he is not diabetic,how do you explain his hunger and peeing?
His sugars are in no way responsible for any symptoms he is experiencing. I attribute some of the symptoms because of his assertion that he thinks it was diabetic in origin based on his reading talking himself into it.

The peeing since his urine is eleveed means it's urgency incontenence if he can't hold it in since his bladder is not full. I don't know if it is seeping out and he can't hold it in requiring a diaper or if he just has the urge to pee or if there is some dysuria. If it is related to his condition then it would indicate a different nerve trunk from his other craniel nerve symptoms of slurred speech. That's where they multiple from multiple sclerosis comes from.
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