Can a person have BOTH untreated hypoglycemia and undiagnosed diabetes?
Posted on Mar 03, 2010 under diabetes medications | 2 CommentsDoc is doing a fasting blood sugar Monday to test for diabetes–but I’ve been told before I may be hypoglycemic…
Aren’t they opposite? It seems as though hypoglycemia may occur if taking diabetes medication, but I am not.
How can the coexist untreated???
To The Orange Evil: Thanks for helping out with my Q’s.
Based on these, do you think I could be diabetic? Test on Monday…but worrying NOW. ![]()
Great question. When a person is an early staged diabetic or heading towards diabetes, the pancreas still retains quite a bit of function. What happens is that the person’s blood sugar shoots up very high after eating because they have a slightly impaired insulin response. (In true non-diabetics, there’s enough circulating insulin and phase 1 insulin to keep blood sugar from ever going too high.) In a full-blown diabetic, the pancreas wouldn’t be able to supply enough insulin to bring levels down quickly. In a person who still has a powerhouse of a pancreas, the pancreas senses the soaring blood glucose levels and pumps out a ton of insulin. That results in a severe and rapid drop – often into hypoglycemic range. This is called reactive hypoglycemia. The effect is even more pronounced when the individual consumes lots of simple sugars, like candy.
Hypoglycemia in new diabetics is surprisingly common. Eventually, though, the beta cells in the pancreas die or the insulin resistance gets so bad that the hypoglycemia side of hyperglycemia stops and there’s just hyperglycemia left.
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