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Medical Forum / Diseases and Disorders / Diabetes / March 2008anxiety?
i have been a long time lurker, and today, would like to ask a question. my son-in-law is a diagnosed diabetic, who is taking several different oral meds for this. they do NOT seem to be holding his BS in control. he follows a low carb diet and does exercise. he has noticed that he is suffering from increase feelings of anxiety. this is causing him to be unable to drive, etc. have any of you noticed this to be a side effect of any of the oral hypoglycemics? thanks, rosie > i have been a long time lurker, and today, would like to ask a question. > my son-in-law is a diagnosed diabetic, who is taking several different oral [quoted text clipped - 9 lines] > thanks, > rosie anxiety/depression often come together, and the diagnosis of a chronic long term illness can trigger depression i have never heard of anxiety being caused by the meds, however, he may feel that way from having a 'false hypo'........ that's where the body is used to high bg levels, and when the bg levels drop down closer to a normal range, he could feel anxious does he test regularily? does he test when he gets these feelings? what have his bg levels been like? lots of questions, but maybe they can shed some light on what is happening to him kate thanks kate! he does not test frequently during the day. i have encouraged him to begin to do so. does his lack of BS control with oral meds, diet, and exercise indicate that it is insulin time? you are correct in your depression diagnosis, he is indeed "down" about the whole diabetes thing, especially when he started to lose BS control. i am an old retired nurse, and haven't learned anything about diabetes since the advent of hypoglycemic meds!  Signaturehappy easter bunny! http://tinyurl.com/25qvon >> i have been a long time lurker, and today, would like to ask a question. >> my son-in-law is a diagnosed diabetic, who is taking several different [quoted text clipped - 24 lines] > > kate >thanks kate! >he does not test frequently during the day. i have encouraged him to begin [quoted text clipped - 3 lines] >you are correct in your depression diagnosis, he is indeed "down" about the >whole diabetes thing, especially when he started to lose BS control. Rosie, I wonder if he could follow this routine for a week or two http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm A log of what's happening with his bg, along with notes of food, exercise, and meds, might shed some light on what's happening? Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 thanks, i copy and pasted the link and sent it to him. Signaturehappy easter bunny! http://tinyurl.com/25qvon >>thanks kate! >>he does not test frequently during the day. i have encouraged him to begin [quoted text clipped - 18 lines] > D&E, 100ug thyroxine > Last A1c 5.6% BMI 25 In alt.support.diabetes on Sat, 22 Mar 2008 11:55:37 -0500 in Msg.# <47e53a05$0$24102$4c368faf@roadrunner.com>, "readandpostrosie" <READANDPOSTAT@YAHOO.COM> wrote: > >> i have been a long time lurker, and today, would like to ask a question. > >> my son-in-law is a diagnosed diabetic, who is taking several different [quoted text clipped - 31 lines] > i am an old retired nurse, and haven't learned anything about diabetes since > the advent of hypoglycemic meds! Anxiety is a frequent component of clinical depression, definitely. When does he test? What are his numbers like? How's his HbA1C path? Are drugs for insulin resistance the same as hypoglycemic meds? And, of course, for some of us simply giving up some of our favorite low carb foods in itself is depressing & if we don't have SUCCESS <G> to reward us, well, we founder a bit. Not all of us are lucky enough to get rid of cravings quickly. And, not having comfort foods can make one anxious. Not knowing what to eat & what not to eat can make one anxious. Not feeling that you have things getting better fast enough can make those of us anxious who tend to be hard on ourselves. Is he a Type 2? How much of what drugs? Gee, I think I just realized I'm talking about myself. LOL Anyway, glad you posted. <G> SignatureDonnaB shallotpeel USA 06-07-06 Diagnosis T2 HbA1c 8.1, D&E & Metformin 500mg Current ................... HbA1c 6.3 "... not every decision can be made with a calculator. In fact, I doubt that any of the important ones can be." - Arthur C. Clarke & Michael Kube-McDowell in The Trigger, 1999, p. 442 (paperback edition) > thanks kate! > he does not test frequently during the day. i have encouraged him to begin [quoted text clipped - 6 lines] > i am an old retired nurse, and haven't learned anything about diabetes since > the advent of hypoglycemic meds! oh, there is Avandia/Actos to reduce the insulin resistance byetta to stimulate the pancreas while sending signals that you are 'full' and delaying gastric emptying to reduce bg levels Januvia...... i forget how that works so there are some options before he has to go onto insulin! and today's insulin's are SO MUCH better than the Regular and NPH from years gone by............ whatever happens, do NOT let his Dr fob off 'premix' insulin on him... 70/30 or 60/40............ they are a TERRIBLE insulin to use and you end up living your life around 'time to feed the insulin'........ i'm sure he won't like that! ask him to talk to his Dr about his depression....... that doesn't make getting good bg control easy at all good luck you folks are terrific! thanks for all the information! Signaturehappy easter bunny! http://tinyurl.com/25qvon >> thanks kate! >> he does not test frequently during the day. i have encouraged him to [quoted text clipped - 25 lines] > > good luck I hear you keep quoting this and I have no idea what you are talking about. I have been on 30/70 mix since being discharged from hospital 2 years ago have no problems and I am gradually reducing my H1c so what are you talking about? (- -) =m=(_)=m= RodS T2 Australia whatever happens, do NOT let his Dr fob off > 'premix' insulin on him... 70/30 or 60/40............ they are a > TERRIBLE insulin to use and you end up living your life around 'time to > feed the insulin'........ i'm sure he won't like that! > I hear you keep quoting this and I have no idea what you are talking > about. I have been on 30/70 mix since being discharged from hospital 2 [quoted text clipped - 10 lines] >> TERRIBLE insulin to use and you end up living your life around 'time >> to feed the insulin'........ i'm sure he won't like that! wow, Rod.......... you are one of the lucky FEW who can do this NPH insulin sent me to hospital in an ambulance too many times in the years that i was on it Lantus and Levemir are wonderful basal insulin's that don't have to be fed on time! the new Humalog/Novolog/Apidra insulins work much faster than Regular insulin does, and they don't have the 'tail' at 5 to 6 hours that requires another snack maybe it's a type 2 versus type 1 on NPH insulin thing? kate I have no idea why, mine is a 30/70 mix brand name Mixtard made by Novo Nordisk dose has been constant, no major hypos, 2 minor ones caused by me forgetting to eat breakfast before setting out for the day. Can't see there would be any difference to what's sold here and overseas. (- -) =m=(_)=m= RodS T2 Australia >> I hear you keep quoting this and I have no idea what you are talking >> about. I have been on 30/70 mix since being discharged from hospital 2 [quoted text clipped - 26 lines] > > kate > I have no idea why, mine is a 30/70 mix brand name Mixtard made by Novo > Nordisk dose has been constant, no major hypos, 2 minor ones caused by [quoted text clipped - 5 lines] > RodS T2 > Australia oh, NPH is NPH is NPH.......... it's the same the world over i know another type 2 diabetic who had no trouble with the 70/30 mix either, however i have known lots of type 2's who had no end of trouble with the premix insulin glad it works for you! kate OK just a little point I keep saying 30/70 and you keep saying 70/30 to my knowledge there is 3 mixes 30/70 50/50 and 70/30 I am using 30/70 NOT 70/30 HTH (- -) =m=(_)=m= RodS T2 Australia >> I have no idea why, mine is a 30/70 mix brand name Mixtard made by >> Novo Nordisk dose has been constant, no major hypos, 2 minor ones [quoted text clipped - 15 lines] > > kate > OK just a little point I keep saying 30/70 and you keep saying 70/30 to > my knowledge there is 3 mixes 30/70 50/50 and 70/30 I am using 30/70 NOT [quoted text clipped - 4 lines] > RodS T2 > Australia oh, we are still talking about the same insulin mixes :) gotta love the english language over the ponds, eh? kate > Can't see there would be any difference to what's sold here and overseas. lol, you are in Australia. Unless you are paying for your meds from OS, then what you have access to depends on the Australian PBS. > I hear you keep quoting this and I have no idea what you are talking > about. I have been on 30/70 mix since being discharged from hospital 2 > years ago have no problems and I am gradually reducing my H1c so what > are you talking about? Different Folks, different strokes. > thanks kate! IMO, The moast important thing is that he needs to work out what works and doesn't appear to work for him. Perhaps a diary might help to keep track of what he is try and why and how it worked or didn't. As others have suggested, try those "starter suggestions", but it is important that he realises that this is his condition and he really has to take responsibility. Some people strike it lucky fromthe gitgo, and others can struggle tryng to get a grip for a while > he does not test frequently during the day. i have encouraged him to begin > to do so. HMMV (his mileage may vary), but it will help his motivation if there is a reason for the testing, like working out food/exercise impact. Note, moderate exercise is far better that strenuous > does his lack of BS control with oral meds, diet, and exercise indicate that > it is insulin time? Insulin is really last measure after a few years IMO. > you are correct in your depression diagnosis, he is indeed "down" about the > whole diabetes thing, especially when he started to lose BS control. Perhaps he might look at his early morning BS and work on getting the day off to a good start first. easier to work from a good start than to stress about "how do I get it down" > i am an old retired nurse, and haven't learned anything about diabetes since > the advent of hypoglycemic meds! lol, some people would tell you that a lot hasn't changed except there are now more drugs around t make some companies rich. OTOH, some of those might work for him. >> i am an old retired nurse, and haven't learned anything about diabetes >> since the advent of hypoglycemic meds! > > lol, some people would tell you that a lot hasn't changed except there are > now more drugs around t make some companies rich. OTOH, some of those > might work for him. I take a newer drug that is *not cheap*, is undoubtedly making the company plenty, & suits me just perfectly -- so I don't *care* if they make money on it, it makes my life(style) reasonably normal! bj >> i have been a long time lurker, and today, would like to ask a question. >> my son-in-law is a diagnosed diabetic, who is taking several different oral [quoted text clipped - 23 lines] >lots of questions, but maybe they can shed some light on what is >happening to him I'd agree with that, do some aggressive testing for a while maybe 30 60 and 120 minutes after eating, maybe test out to the three and four hour mark. As a diagnosed depressive getting my BG under control has resulted in a major improvement in the depressive symptoms, I'm now taking 1/6 of my original dose of venlafaxine and am trialling 1/12. Rapid changes in BG can induce symptoms very similar to anxiety and even ADD. It may be his BG is cycling from hypo to hyper and back like mine was doing, and reassessing his diet and the timing of the meds may help level things out. > i have been a long time lurker, and today, would like to ask a question. > my son-in-law is a diagnosed diabetic, who is taking several different oral [quoted text clipped - 9 lines] > thanks, > rosie If he's DM, meds and low carb fail to lower his bg, he should have his cortisol tested, high cortisol is a frequent, and typically overlooked cause of diabetes. It also causes anxiety, particularly when cortisol levels drop, or are suppressed by DM meds or other causes. Susanj >i have been a long time lurker, and today, would like to ask a question. > my son-in-law is a diagnosed diabetic, who is taking several different [quoted text clipped - 9 lines] > thanks, > rosie I sympathize with him. After my heart attack and diagnosis of diabetes, I also suffered from anxiety. Never having had anxiety in my 45 years, I didn't even know what it was. I'd have sudden crying jags, panic attacks, lack of concentration et. al. It was horrible. I was put on Xanax, talked to a therapist and also put on an antidepressant. I'm happy to say that the anxiety resolved and I have cut my dose of antidepressant from 20 mg to 5 mg and will stop it entirely in about two weeks. I he's having anxiety to the point where he can't drive, he needs professional help. John C. > i have been a long time lurker, and today, would like to ask a question. > my son-in-law is a diagnosed diabetic, who is taking several different oral > meds for this. what country? which meds? > they do NOT seem to be holding his BS in control. > he follows a low carb diet and does exercise. Probably a good idea to do the test eat one thing test 1hr, then 2 hr later and see what effect it has. Everyone seems to have different responses, so he will need to work out what works for him. How do you determine "low-carb" What fats & oils does it include? |
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