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Medical Forum / Diseases and Disorders / Diabetes / July 2008

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Serious health Problems - Please help

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Keith - 24 Jul 2008 12:19 GMT
I have been a Type II for 20 years and just turned 50.  In the last 2
years I have developed what I consider to be serious, but the several
Doctors and three Podiatrist  all have nothing to tell me other than
"Stay in Control . . . check your BG's regularly . . . etc

But something is really VERY VERY wrong here !!!!!   Both feet have
become so painful and swollen that it is unbearable.  I just did a
search of the hundreds of posts in here for both "Swollen feet" and
"Painful feet" and there is not a single post on that in here.

I must admit here that my "control" is terrible.  The BG meter is up
into the 200's and then down and then up. I am on both Fast acting and
24-hour Insulin.

My day goes like this . . .
I wake up after a fitful night of sleep and immediately have to soak
my feet in hot water - it is the ONLY thing that gives me relief. Then
I walk around the house because I need to be vertical to let the blood
flow down to the feet.  Well that is my theory - they hurt less when I
am upright.

Then I cycle through sitting . . . until I can't take the pain anymore
. . . then another Hot Water soak and standing/walking  .  .  .  then
sitting again until I can no longer stand it.

When I put my legs and feet up on the couch (sitting along the length
of the couch and watching TV) it very quickly becomes unbearable.  I
need to sit UP at a minumum so that the feet can last another 30 mins
or so.

I am just so frightened and frustrated - I am scared that I am either
slowly dying or in the process of losing my feet.

One other thing - this year I started hearing a high-pitched
whooshiung sound in my head.  Sometimes in the middle, sometimes in
one ear or the other.  The sound is excatly synchronized with my
pulse.  I looked it up and it is called "Pulsitive Tinnitus" but there
is not a lot known about it and no real cure.  Since it coincided with
this high level of foot pain I can't help but think they are related.
The sound gets VERY loud at times.

Since so far the GP's and Podiatrists seems to not have any idea what
is going on - I thought I would ask here to see if anyone else has any
of these symptoms ??

Thanks
Robert Miles - 24 Jul 2008 13:46 GMT
>I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 5 lines]
> search of the hundreds of posts in here for both "Swollen feet" and
> "Painful feet" and there is not a single post on that in here.

I have had swollen feet and ankles; it's a known side effect for
some of the people taking Actos.  One you should tell your
doctor about if you're taking Actos, because it can lead to
congestive heart failure if it goes on long enough.

http://www.actos.com/actos/home.aspx

http://www.actos.com/actos/rightforyou.aspx

Look for the safety information.

I believe the swelling is often known as edema in medical literature.

A web site that may help you with what is normally recommended
in this newsgroup:

http://www.alt-support-diabetes.org/NewlyDiagnosed.htm
HelenHowesTextiles@googlemail.com - 24 Jul 2008 18:05 GMT
Even if you have complications, good blood glucose control can reverse
these with good effect.  You should read "Dr Bernstein's Diabetes
solution"  Meantime, tell us what you eat and what your numbers are
like...
HH

> I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 42 lines]
>
> Thanks
Julie Bove - 24 Jul 2008 22:43 GMT
> Even if you have complications, good blood glucose control can reverse
> these with good effect.  You should read "Dr Bernstein's Diabetes
[quoted text clipped - 46 lines]
>> is going on - I thought I would ask here to see if anyone else has any
>> of these symptoms ??

I don't know why but I never saw the original post.  I have swelling in my
feet and also neuropathy.  Swelling in and of itself is very painful.  As
for the sound in your ears, I had this when my thyroid was out of whack.
You need to see an Endocrinologist.
Michelle C - 24 Jul 2008 19:44 GMT
>I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 42 lines]
>
> Thanks

Hi Keith,

I am wondering if this is some kind of neuropathy, (although I'm surprised
your doctor didn't pick up on it).  If so the best thing you can do is to
control those BGs.  We can help you figure out how.  Have you read this
link?  http://www.alt-support-diabetes.org/newlydiagnosed.htm  There is also
OTC evening primrose and alpha lipoic acid, which many find helps
considerably along with good BG control.

In the meantime, you need to find out what is going on with your feet.  Are
you seeing an endocrinologist?  Sounds like you need more specialized than
you've been getting.
Signature

Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

Nicky - 24 Jul 2008 20:45 GMT
>I must admit here that my "control" is terrible.  The BG meter is up
>into the 200's and then down and then up. I am on both Fast acting and
>24-hour Insulin.

Keith, what you're describing sounds exactly like peripheral
neuropathy. It's reversible, to at least some extent - I did that
myself - but you HAVE to get tight control of your bgs. What are you
doing in terms of diet and exercise to help your control?

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.4%  BMI 25
hemyd - 24 Jul 2008 22:07 GMT
>I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 42 lines]
>
> Thanks

Keith, unfortunately I have nothing to say that is "supportive" as in making
you feel good.

You'll get many comments from the very wise people here who have done so
much to improve my own management of my diabetes and are contnuing to do so.
You sound like you have neuropathy, something I haven't had, and other
people are much more clued up on it.

I have three observations -

- You DO have to try your best (diet/exercise/medication) to lower your
blood glucose to as close to normal as possible.

- You need to have frequent checkups (such as blood tests, kidney function
tests, eye tests, etc.) for the presence or possibility of any
"complications".

- The doctor's checkups should include a blood pressure check on every
visit. The "whooshing" sound may indicate an elevated or high blood
pressure, which is one of the many dangers you face.

- If your doctor/s don't know what your symptoms are, find a doctor who
does. Find a qualified diabetic specialist.

Henry Mydlarz.
Alan S - 25 Jul 2008 08:28 GMT
>Keith, unfortunately I have nothing to say that is "supportive" as in making
>you feel good.
[quoted text clipped - 21 lines]
>
>Henry Mydlarz.

Hi Keith

I want to reinforce Henry's answer on all points, and stress
that getting the BGs under control, while not the only thing
you may need to do, is not optional.

If you gain control of your BGs it's possible the feet will
improve. If you don't, it's almost certain that they won't.

Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
Blog http://loraldiabetes.blogspot.com 
DLife column http://tinyurl.com/5v74xr
http://loraltravel.blogspot.com (The Taj Mahal)
Ozgirl - 24 Jul 2008 23:51 GMT
get some new doctors. It sounds very much like you have diabetic neuropathy
which has been discussed here very often. It is caused by your terrible
control. So the doctors are right in that respect, gain good control. You
are doing serious damage right now to not only your nerves (the pain of
which must be unbearable) but your eyes, kidneys, heart etc etc. If you
don't turn this around, all your worst nightmares will become real.

Now, how can we help you to change your life? Is there a problem that
prevents you from eating right?  What meds are you on and what is a typical
day's diet for you? Any exercise?

> I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 42 lines]
>
> Thanks
Andrew B. Chung, MD/PhD - 25 Jul 2008 00:07 GMT
> I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 40 lines]
> is going on - I thought I would ask here to see if anyone else has any
> of these symptoms ??

It is likely that you have peripheral vascular disease.

Would sugget you have your GP refer you to a cardiovascular disease
specialist.

> Thanks

Laus Deo

May you and other dear neighbors, friends, and brethren have a
blessedly wonderful 2008th year since the birth of our LORD Jesus
Christ as our Messiah, the Son of Man ...

... by being hungrier:

http://groups.google.com/group/sci.med.cardiology/msg/f891e617d10bd689?

Hunger is wonderful ! ! !

It's how we know what GOD desires, which is all that is good.

Yes, hunger is our knowledge of good versus evil that Adam and Eve
paid for with their and our immortal lives.

"Blessed are you who hunger NOW...

... for you will be satisfied." -- LORD Jesus Christ (Luke 6:21)

Amen.

Here is a Spirit-guided exegesis of Luke 6:21 given in hopes of
promoting much greater understanding:

http://groups.google.com/group/sci.med.cardiology/msg/cc2aa8f8a4d41360?

Be hungrier, which is healthier.

Marana tha

Prayerfully in the awesome name of our Messiah, LORD Jesus Christ,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/3558812d72ab4e17?
Robert Miles - 25 Jul 2008 01:45 GMT
>I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
> Doctors and three Podiatrist  all have nothing to tell me other than
> "Stay in Control . . . check your BG's regularly . . . etc
[snip]
> One other thing - this year I started hearing a high-pitched
> whooshiung sound in my head.  Sometimes in the middle, sometimes in
[quoted text clipped - 9 lines]
>
> Thanks

For the "Pulsitive Tinnitus" you might want to take your blood pressure
at such a time.  If it's higher than usual, you might want to ask your
doctor to arrange a test for blood vessel problems in your head -
either bulging or narrowed.
krom - 25 Jul 2008 08:47 GMT
This is your answer right here friend...

Your on insuline and still way out of control..your frying your system out
fast..and doing exactlly what the ada and most docs recomend...do nothing
and eat whatever while your numbers go up and up and they give you more and
more drugs...high blood gluccose..take a drug...still high..heres some
insulin...nerv pain..heres a pill for that too..on and on..they will keep
giving you drugs till you die sadly while never FIXING the problem itself.

The solutions is SLOWLY change your way of eating and add in exercise..i say
slowly because somdy that high on uinsuline can harm themselfs changing too
fast.

Get you BG as close to normal range as you can with the least amount of meds
and you will find a vast improvment in the quality of your life and it will
save you money in meds...less trips to the doctor and a longer better life.

Stay..join in the group and learn all you can about healthy eating and
exercise thats works for you..

all the best on getting control!

KROM

<Keith> wrote > I must admit here that my "control" is terrible.  The BG
meter is up
> into the 200's and then down and then up. I am on both Fast acting and
> 24-hour Insulin.
Nick Cramer - 25 Jul 2008 11:31 GMT
> I have been a Type II for 20 years and just turned 50.  In the last 2
> years I have developed what I consider to be serious, but the several
[quoted text clipped - 5 lines]
> search of the hundreds of posts in here for both "Swollen feet" and
> "Painful feet" and there is not a single post on that in here.

Several years ago, I had painful, swollen feet. I used to add a couple of
cups of Epsom Salt to a foot-soak tub of very warm water, stir to dissolve,
soak my feet for at least 15 minutes, then rinse and dry. I don't remember
how long I did that, but it was very comforting.

> I must admit here that my "control" is terrible.  The BG meter is up
> into the 200's and then down and then up. I am on both Fast acting and
> 24-hour Insulin.

It sounds to me like you might be eating too many carbs. What're your
weight, exercise, diet and readings? How do your readings relate to your
meals?

Notice that by just searching for "swollen feet" and "painful feet" might
have missed a lot. E.g. - your subject is: Serious health Problems - Please
help. No mention of swollen or painful feet.

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