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for those of you with fainting spells

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  • Burton Borrok
    replied
    Re: for those of you with fainting spells

    Howdy,
    Guess who’s also a diabetic. I started on four 5 mg Glyburide (Glynase) tablets a day – two each a half hour before breakfast and dinner (lunch seemed OK), and I’m still on them. However, since then Lantis has been added. This is a long lasting insulin which I take once a day before bedtime. I’m currently on 30 units a day, but have been given the OK to increase that if my blood sugar levels indicate the need. Beside that I’m also on seven units of Humalog immediately before lunch and dinner. This is a very fast acting insulin and must be administered within ten minutes prior to eating. Again I’ve got the green light to increase the dosage if needed.

    My doctor is a professor of endocrinology at the Nevada School of Medicine and he is as sharp and understanding as they come. When I first became his patient he gave me a write-up of the various symptoms of hyper and hypoglycemia. Here they are. . .

    Hyperglycemia
    Extreme thirst – frequent urination – dry skin – hunger – blurred vision – drowsiness – and decreased healing.

    If your glucometer reading is over 200 for several tests or for two days call your doctor.

    Hypoglycemia
    Shaking – fast heartbeat – sweating – dizziness – anxious – hunger – impaired vision – weakness / fatigue – headache – irritable.

    Drink a half glass of juice or regular soft drink, or a glass of milk, or eat some candies – not chocolate. Within 20 minutes check your reading again. If symptoms don’t stop call your doctor. – Then eat a light snack (1/2 peanut butter or meat sandwich and a half glass of milk.)

    Gee Pam, I hope this is of some use to you. Maybe you can pin down the problem.
    Burt

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  • Pam Alexson
    replied
    Re: for those of you with fainting spells

    Pam, I kept my blood sugars in a log and at what time and when I ate times and what I ate. It seemed that I was taking my blood sugar a lot but that is how I caught it and he acknowledged that if we did not trust these devises then why would the medical community utilize them. This is how we got to the dx. My uncle and brother also have it. The hyperinsulimia is often referred to as the honeymoon faze of a type 2 diabetic before they go on insulin. In the early stages before full loss of insulin production by the pancreas the pancreas will attempt to correct the problem by excreting very large amounts of insulin , in my case 8 times the normal level hence the term ;hyperinsulimia. As this scenario happens throughout the day repeatedly the pancreas over works to normalize the blood sugars. When the doctors were checking they would always seem to catch me as I was rising or falling and still reading within normal. It is the belief that a person caught in this stage of diabetis can often never have to go on insulin if an oral antidiabetic agent is started during this period and diet control etc. The med. will slow the absorption of sugars, simple and complex, from the small intestine and also normalize the insulin levels in the pancreas . Another possibility for these spells is just that HCM people have a difficult time in general with foods esp. carbs and larger portions which seem to vary from individual to individual. The already stressed heart has to share circulation with the stomach when digestion is necessary. When I had a large gradient this was very distressing to me. Those type of spells seem to go on and on. It still exists but to a much lesser extent. I hope some of this info helps you. Good luck at the doctors. Pam

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  • Abbygirl2
    replied
    Re: for those of you with fainting spells

    Pam,
    I was told a few monthsback that I was 'borderline' diabetic so I ran out and bought a home glucose monitor, my numbers are always within range. Could this still be the case if it were hyperinsulimia? My symptoms are very similar to that of low blood sugar, unfortunately food doesn't seem to cause a change in the way I feel. My Dr said she would send me to an endocrinologist, but it never happened. What 'hard evidence' did you have to give your cardio in order to be sent to an endo?

    I don't want to automatically dismiss this as HCM related, because thought it is entirely possible, it could be something else as well. Besides these are often long drawn out spells, not quick fainting spells.

    Thanks so much for the info though, I will look into this before my Dr app today.

    Oh, by the way, nobody calls me Pammy...however in high school I dated a guy whose last name was Hamm...*Pam Hamm*, man did I get teased about that forever!!
    Take care
    Pam

    Leave a comment:


  • Pam Alexson
    replied
    Re: for those of you with fainting spells

    Pam , Do you have access to a glucometer? Possibly could be your glucose level is dropping at these times. If you lie down the glucose level often can improve as you then begin to utilize your stored fat for conversion to glucose ( sort of a mild explanation for a scientific process.) With people who have hyperinsulimia, this can go on for years without detection . The docs do a glycohemoglobin level and it comes out normal as the test shows the averaging of your 30 day blood sugars as recorded by your cells. It took me giving a similar story and the hard evidence and an argument to my then cardiologist to get him to send me to an endocrinologist. She did insulin studies; levels, and bingo I had been a diabetic for 14 years or more without detection . She concluded a lot of my past confirmation via a thorough history taking. My 1st child weighed 8lb 6oz, 2nd was 9lb 4oz, and 3rd was 11lb 1&1/2oz. Good thing I stopped at 3!Never gained more then 20 lbs /pregnancy and with the 11 lb'er only gained 16. The endo said the tests they do on pregnant women does not factor in the ones with hyperinsulimia. With glucophage on board those sx's still occur at times but when I forget to eat on time. Sometimes I feel like I have been invetigating my health for a good part of life. The HCM related faints were more exactly like Burt described for me anyway. I hope you get to the bottom of this or should I say the top? Best Wishes . Do your friends and family call you Pammy? It sometimes sounds silly at my age but I like it OK. Pamela was always for when I was in trouble or when I wanted to sound very French; Pamela Jean Benoit. The Irish from my mom did not get in there( Mckearney) and now I am left with a Greek last name . ( shortened from Alexopoulos. ) Oh well names can be very interesting huh? Pam

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  • Abbygirl2
    replied
    Re: for those of you with fainting spells

    Thanks for the replies, I guess the reason my cardio doesn't think they're heart related is because I feel faint and weak for so long. He said usually cardiac related syncope happens without warning(though not always)
    I had a really bad spell today and went downstairs to lay down. I began feeling better after about 5 min or so but continued to feel lightheaded, spacy all evening.
    I always go dowstairs when I begin feeling lightheaded and my eyes start seeing things weird(possibly tunnel vision or blurred vision). I always make it to my bed.
    I was even out for a walk one day and down the street from my house I began getting all the symptoms. I cut across the church yard and thought for sure people were going to arrive and see I had died in the church yard. Well I made it home and sat down and recovered.

    See where I am confused?
    I have never had (near)fainting spells(until 5 months ago) and nothing has changed in my condition in 6 yrs. I wore a holter and caught one of the spells but nothing came back abnormal.
    These spells happen once or twice DAILY, and I am at my wits end.
    I don't get lightheaded from standing up too quickly, and I have been checked for all the other things(diabetes, low iron etc)
    Thats why my cardio. doesn't think they are heart related(also I have checked my BP and heartrate during these spells NUMEROUS times and nothing exciting is happening there.(While I am still feeling faint)
    Ok, I am running off at the mouth again, as usual its after 3am and I am still awake.
    Have a good sleep....
    Pam

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  • Burton Borrok
    replied
    Re: for those of you with fainting spells

    Hi Pam,
    I’ve had three or four fainting spells in the past year, and a few - years before that, but thankfully none in the past six months or so.

    As I pass out I get what’s called, ‘tunnel vision.’ (Your vision tightens down like your looking at the world through a tunnel.) As a teenager I could generally get to a seat quickly enough to avoid fully passing out, but this last year it has happened so quickly I could do nothing to avoid it. Once it happened in the middle of the night as I was leaving the bathroom. I went straight down in the doorway, and when I came to I had to pull myself forward out of the doorway. I thought I had broken my big toe, but it was only bruised. That’s how quickly it hit.

    Now that I think about it, I believe these occurrences are preceded by a headache but I don’t know if that is always true. I just know it doesn’t happen when I am feeling well. Also, when I’m tired I sometimes will doze off for ten to twenty seconds at a time while doing something seated, - and sometimes I’m asleep for hours – like in front of the TV, but then doesn’t everybody? I find most TV shows today fairly hypnotic.

    I asked my neurologist about passing out after I had my stroke, and he said it was a blood flow problem. If you get up to quickly, and sometimes for other reasons, the blood will drain out of your head to the point where you pass out. When you go down the blood flow is returned and you wake up. Then, if you get up too quickly, down you go again. I’m sure there are a number of heart conditions which will cause the same reaction.

    Does anybody else get tunnel vision on the way to syncope? (Sounds like a song title.)
    Burt

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  • Cynaburst
    replied
    Re: for those of you with fainting spells

    I was getting them too (and sometimes I still do). I wore an event monitor for a month. I was found to have non-sustained v-tach. Now I have an ICD too. I still don't enjoy these episodes, and since I have increased my beta blocker, it happens less frequently, but sometimes the episodes were from obstruction, and sometimes arrythmia.

    You need to see a Dr. who knows what they are talking about! Clearly HCM is the cause of your problems. Are you obstructed? That could be it, or it could by arrythmia. I usually can usually tell a second or so before that something isn't right. With the obstruction problem, I have longer to sit down and put my head down. That usually cures it.

    Leave a comment:


  • swinand
    replied
    Re: for those of you with fainting spells

    I'll second what Rhoda said. Your cardio doesn't think it is heart related???? I was having near syncope episodes, sometimes just walking or sitting. Sometimes I could feel some type of arrythmia sometimes not. One day I passed out, with no warning. I happened to be on my boat. I woke up under water. Now that scared the cr-p out of me. Three months later my cardo put a ICD in my chest. I still get a little faint sometimes but I now have some protection which makes me feel a little better. As Rhoda said, your cardio should do some do some reading. Get it checked out. Good luck, Steve.

    Leave a comment:


  • Laoshur
    replied
    Re: for those of you with fainting spells

    Your cardiologist doesn't think they are heart related?!? Weird! Maybe he should do some reading.

    In answer to your question about how it feels, since I have been practicing this week , I can speak from experience. The first time I completely fainted, about three years ago, I was feeling funky while working out and laid down on a crunch bench. I heard my heart stop, lost consciousness, and came to a few seconds later. The times that it has happened since then have been mixed, but most of the times I had no warning. Suddenly my legs gave way and I either recovered as quickly as it started, or I went down. I am thankful to say that each time I have fallen into a chair rather than the floor!

    I would definitely question the cardiologist as to why he thinks it is not your heart since you have a diagnosed heart problem for which fainting is one of the symptoms! Do you see an HCM specialist? Push for answers.

    Rhoda

    Leave a comment:


  • Abbygirl2
    started a topic for those of you with fainting spells

    for those of you with fainting spells

    Do those of you that have fainting spells feel the faint coming on or does it happen spontaneously?
    Also what causes them? An irregular heartbeat or something else?

    I get presyncope spells, I have never fainted but I feel that I have come as close to fainting as one can(without actually fainting).

    Its been 6 months since these spells began and my Dr can't figure out why. My cardiologist doesn't (think) they are heart related.


    Thanks
    pam

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