Medical Forum / Diseases and Disorders / Diabetes / August 2007
Dehydration question
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Davybear - 02 Aug 2007 06:23 GMT I work in a factory with a fairly strenuous job. The temperatures can be 100+ degrees F. I have been having problems feeling hypo but still having 105 BG readings. How much does dehydration increase BG readings?
Julie Bove - 02 Aug 2007 06:37 GMT >I work in a factory with a fairly strenuous job. > The temperatures can be 100+ degrees F. > I have been having problems feeling hypo but still having 105 BG readings. > How much does dehydration increase BG readings? I don't know by how much, but I know that it does. When I was having oddly high BG a few weeks ago, my Endo. surmised that it might be due to dehydration.
Shawn Hirn - 02 Aug 2007 09:18 GMT > I work in a factory with a fairly strenuous job. > The temperatures can be 100+ degrees F. > I have been having problems feeling hypo but still having 105 BG readings. > How much does dehydration increase BG readings? Do you check your BG when you feel hypo? You might also keep a bottle of water with you at work to sip so you can avoid dehydration.
Loretta Eisenberg - 02 Aug 2007 13:59 GMT Davy, I just read an article in the paper yesterday that a person needs three quarts of liquid in their system a day not to get dehydraed, It can be in the form of fruit, especially watermelon which is 90 per cent water. I never am without a drink. I dont know why you arent hydrating yourself at least every fifteen minutes
I am sorry you have to work under those conditions. but please keep hydrating.
Loretta
Davybear - 03 Aug 2007 05:29 GMT > Davy, I just read an article in the paper yesterday that a person needs > three quarts of liquid in their system a day not to get dehydraed, It [quoted text clipped - 6 lines] > > Loretta We have water fountains and soda vending machines at work but with the heat right now I am sweating it out faster than I am drinking it. At least I will be on vacation next week so I will be getting a break.
Tim Shoppa - 02 Aug 2007 14:14 GMT > I work in a factory with a fairly strenuous job. > The temperatures can be 100+ degrees F. > I have been having problems feeling hypo but still having 105 BG readings. > How much does dehydration increase BG readings? I don't know about dehydration increasing BG readings, but for me, being dehydrated or physically exhausted can cause some symptoms that are very similar to a real hypo beginning. This can go the other way because after feeling hypo for a while I lose the ability to feel what is a real hypo coming on. You don't describe your symptoms but for me the ones that I get when dehydrated or exhausted include some vague mental confusion, a feeling of disconnectedness from my body (especially my legs), etc.
It's also possible if your bg's have been running high (>180 say) for an extended period, that having a bg of 105 can trigger hypo symptoms just because it's much lower than what your body has grown accustomed to.
There are also some adrenal and thyroid problems that are not at all rare in diabetics and can have symptoms very similar to hypos.
Tim.
Måck©® - 02 Aug 2007 16:20 GMT >> I work in a factory with a fairly strenuous job. >> The temperatures can be 100+ degrees F. [quoted text clipped - 19 lines] > >Tim. Here the thing you have to remember about Blood Glucose and the water content of your Blood. When you are HYdrated properly your BG readings are considered accurate. Ie a BG of 105 is an actual 105.
However as we DEhydrate (the water content of our blood is decreased) everything that is in our blood because "concentrated".
So we have to determine WHY we are becoming dehydrated. In the case of HI BGs due to over eating or a lack of insulin which also leads to DKA. The HI BG will trigger the dehydration as the body attempts to flush excess glucose through the kidneys. As this continues into DKA for type 1s, the rate of dehydration and the rate at which the BG climbs increases and worsens the rate of dehydration.
Now in the case "Davybear" describes he is working in an extreme environment. The stress from the heat alone, even without physical activity would lower ones BG. Add physical activity to that and the risk of hypos increases.
Now as he is going hypo he is ALSO dehydrating(because of his extreme working environment). 2 separate events taking place at the same time. As he starts to experience hypo symptoms the water content of his blood is dropping, and the Glucose still in his blood is becoming more concentrated. So when he tests his BG he now gets a FALSE reading of 105. But with the lower amount of BG in the system because of the hypo and the lower fluid level in the blood stream because of the dehydration his body is still not going to be getting enough glucose throughout his body to prevent the effects of the hypo. He needs both fluid replacement and glucose to treat this situation correctly.
When I worked as a welder I experienced this several times. I had to test my BG several times at work. Not a problem where I was in a shipyard. I had to keep water AND juice or regular sodas on hand at all times. Liquid sugar metabolizes faster than glucose tabs or candy or table sugar. Drink the water on a regular basis, even if you are not all that thirsty. You can also find sugar free sport drinks now. Review them with your doctor. Their cheaper and sometimes easier to get than the electrolyte replacement drinks.
Consider this based on my experience only, but I suggest you talk it over with your doc. In your work environment if you feel any hypo symptoms and you do not have the ability to stop what you are doing long enough to test your BG and hydrate and treat the hypo. then err on the side of caution and simply act as if you are hypo and at the very least treat for a mild to moderate hypo. Far better to end up a little hi, than dead because you had a hypo and an accident as a result of it.
"It's never happened before". "It can't happen to me". are all natural foolish responses but they do lead to the Darwin Effect.
 Signature Måck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco"
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Alice Faber - 02 Aug 2007 17:01 GMT > When I worked as a welder I experienced this several times. I had to > test my BG several times at work. Not a problem where I was in a [quoted text clipped - 4 lines] > Review them with your doctor. Their cheaper and sometimes easier to > get than the electrolyte replacement drinks. Standard advice for outdoor activities such as hiking in the summertime is that if you wait until you're thirsty to drink something, you're already slightly dehydrated. When I went hiking with friends out west, we would regularly remind each other to have some water.
 Signature AF "Non Sequitur U has a really, really lousy debate team." --artyw raises the bar on rec.sport.baseball
Måck©® - 02 Aug 2007 18:03 GMT >> When I worked as a welder I experienced this several times. I had to >> test my BG several times at work. Not a problem where I was in a [quoted text clipped - 9 lines] >already slightly dehydrated. When I went hiking with friends out west, >we would regularly remind each other to have some water. absolutely correct.
Thanks Alice.
 Signature Måck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco"
"To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt
(o ô) --ooO-(_)-Ooo--------------------
"I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins
DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... .
Chris Malcolm - 03 Aug 2007 02:40 GMT >> When I worked as a welder I experienced this several times. I had to >> test my BG several times at work. Not a problem where I was in a [quoted text clipped - 4 lines] >> Review them with your doctor. Their cheaper and sometimes easier to >> get than the electrolyte replacement drinks.
> Standard advice for outdoor activities such as hiking in the summertime > is that if you wait until you're thirsty to drink something, you're > already slightly dehydrated. When I went hiking with friends out west, > we would regularly remind each other to have some water. If you don't feel thirsty and don't notice any other problems what's wrong with being slightly dehydrated?
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Alice Faber - 03 Aug 2007 02:53 GMT > >> When I worked as a welder I experienced this several times. I had to > >> test my BG several times at work. Not a problem where I was in a [quoted text clipped - 12 lines] > If you don't feel thirsty and don't notice any other problems what's > wrong with being slightly dehydrated? When you're hiking in a very hot dry, desert area, by the time you're thirsty you could be on the verge of heat stroke. By the time you notice a problem, it can be too late.
 Signature AF "Non Sequitur U has a really, really lousy debate team." --artyw raises the bar on rec.sport.baseball
Chris Malcolm - 03 Aug 2007 11:24 GMT >> >> When I worked as a welder I experienced this several times. I had to >> >> test my BG several times at work. Not a problem where I was in a [quoted text clipped - 12 lines] >> If you don't feel thirsty and don't notice any other problems what's >> wrong with being slightly dehydrated?
> When you're hiking in a very hot dry, desert area, by the time you're > thirsty you could be on the verge of heat stroke. By the time you notice > a problem, it can be too late. Ah yes, I knew it could be a problem in desert areas where heat stroke is a danger. Where I live carrying an umbrella when hiking in the summer might be a more useful health precaution than carrying water, and you're probably more likely to get drowned in a river flood than die of heat stroke :-)
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Måck©® - 03 Aug 2007 10:52 GMT >>> When I worked as a welder I experienced this several times. I had to >>> test my BG several times at work. Not a problem where I was in a [quoted text clipped - 12 lines] >If you don't feel thirsty and don't notice any other problems what's >wrong with being slightly dehydrated? reread the original post and keep your question in context and you should see an obvious answer to the question.
 Signature Måck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://www.pandora.com enter "Jason & Demarco"
"To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt
(o ô) --ooO-(_)-Ooo--------------------
"I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins
DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... .
Nicky - 03 Aug 2007 13:54 GMT >If you don't feel thirsty and don't notice any other problems what's >wrong with being slightly dehydrated? I've never understood this, either. As a kid in Africa, we were told not to drink if we were out in the sun, you'd just sweat and need more, leading to severe dehydration - we used to keep a pebble in our mouths to suck on, to stop feeling thirsty, and only drink when we were resting in shade. I've no idea how accurate this advice was, but it seems just as likely to me as the 8-glasses-a-day advice which has been so thoroughly debunked.
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25
Chris Malcolm - 04 Aug 2007 09:28 GMT >>If you don't feel thirsty and don't notice any other problems what's >>wrong with being slightly dehydrated?
> I've never understood this, either. As a kid in Africa, we were told > not to drink if we were out in the sun, you'd just sweat and need [quoted text clipped - 3 lines] > it seems just as likely to me as the 8-glasses-a-day advice which has > been so thoroughly debunked. The thorough debunking has a long way to go to get through to the general population, however. For example, there are now plenty of university students in cool humid Scotland who sincerely believe they can't safely get through a single lecture without a number of swigs from the water bottle they carry everywhere. It started with the US students, but now the local students are doing it too. It's "well known" that thirst is useless, you have to keep drinking water to keep healthily hydrated and to keep the toxins flushed out.
 Signature Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205 IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]
Michelle C. - 04 Aug 2007 20:05 GMT > >>If you don't feel thirsty and don't notice any other problems what's > >>wrong with being slightly dehydrated? [quoted text clipped - 19 lines] > IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK > [http://www.dai.ed.ac.uk/homes/cam/] I do think locale makes a difference in actual water intake needs. I live in the Mojave desert, and probably drink enough water to float a boat--but when I lived in a more humid environment it wasn't necessary to drink near as much as I do now.
However, Davybear's work environment no doubt requires more fluid than he's been getting.
Best regards, Michelle C., T2 diet & exercise
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