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rostkowb
10-02-2009, 11:03 AM
This is to those who are on ace inhibitors....
Do you notice changes with insulin/metabolism since diagnosed with renal/kidney failure? Since my diagnosis (June 2009), I have! The current situation is this: throughout the day and night, my sugars are dropping drastically and at a quick pace as opposed to the past. Example, before bedtime, I will test and adjust (insulin/snack intake) accordingly. If the readings are 7 and above, I will not eat a snack. If below, I will. Never the less, I will adjust accordingly then go to sleep. First thing in the morning, (6/7am), I will test and adjust again. But here is the problem....my reading is below the "hypo" marker of 3.8! Specifically, my sugars have been 2, 1.7, 3.1 etc. This has been since my diagnosis and not before hand. In the past, I used to go to bed with 7's and wake up with approximately the same!
I did serious research on this and spoke with very highly recognized specialists regarding this issue. They have stated that for those with diabetes/renal failure, they will have more difficulty controlling sugars. The kidneys are forcing the insulin to work harder and at a quicker rate as opposed to a diabetic without this issue. This means that insulin/food intake will have to be monitored more frequently throughout the day and night.
My regimen is now this: bedtime is only 3 to 4 hour intervals. Alarm set to alert me. test then adjust.
I have had diabetes for almost fourty years and yes I assure everyone, I know it's symptoms and what to do....I've had a lot of experience. Just want to know if you's recognize the same thing? By the way, Lisinopril (2.5mg) is the inhibitor I'm using. Also, I can function at 1.7 readings!!!

rostkowb
10-02-2009, 02:50 PM
Update - Back from the diabetic clinic with new info. My endochronoligist and MNc/RN explained to me that because my sugars have steadily been "low" for the last few months, my body is adjusted to that. This means my body has adapted to 1.7, 2.0 sugars and accepts them as being normal! The doc and nurse further instructed that I will have to get my sugars up in the 9,10 and even 11 range so that my body can adjust to the "hypo" marker (3.8) again and feel symptoms beforehand. If I don't, the next time or few times with 1.7's, I could completely collapse and die quick! This is very, very serious to be in this state (hypoglycemia) and equal hyperglycemia. Each has it's own set of warnings and dangers. My understanding of the body is this: we humans adapt to our environment whenever and wherever we are in any present state. It's outcomes can be fatal. So, for diabetics, it is important to keep sugars (24/7) at 5.0 marker so we will always be in alert of our highs and lows even though we have medical instruments to measure. If you are in a position such as I, there's no time to waste or play with this. I am doing as instructed.
Final note - renal/kidney is no joke! Ask the ones who are not diabetic and have lost their kidneys. Ask them what they are going through. You will be in for a shock! This is the reality of conditions developed from lack of control whether short or long term. This is a reality! Thanx again.