Patient :41 year old female, 5’10, 133 Ibs, no medications, active, no other medical problems, eat very healthy diet with no processed foods and very little sugar, Family history of diabetes in my Aunts. //Could high sugar be causing these spells of extreme fatigue and other symptoms? Can I still have Diabetes with a normal Oral Glucose Tolerance Test? I am honestly not sure where to go from here, since several of my tests have been normal or close to normal, but symptoms remain and I believe 160 is high for non-diabetic an hour after eating? I do not fit the mold for a diabetic being healthy weight and active, but we never found a cause for the retinal hemorrhages, cataracts, double vision, and damaged eye blood vessels back in 2011/2012? Could I be cycling between Hypoglycemia and Hyperglycemia and that is why I feel so terrible? My doctor currently has me monitoring with glucometer/finger prick monitor for the next month, but the 160 today concerned me a bit, is that normal and okay?
Symptoms: Periods of extreme fatigue for years, Tingly hands, Hypoglycemia spells, Excessive hair shedding, Frequent urination at night, Occassional double vision spells 2011-2014, Retinal Hemorrhages in 2011 (normal EKG & Cardiac Ultrasound, normal brain MRI, normal sed rate, normal CBC w diff, normal blood chemistry, normal thyroid, normal homocysteine, normal CRP, normal ANA Screen, normal Protein S & C, normal Cardiolipin ABS, normal extensive autoimmune blood work, normal cholesterol, normal BP, HA1C 5.3 – all this blood work was done 2011), Many cataracts 2011-present, Damaged blood vessels in eyes seen during dilated eye exam in 2011 & 2012. My Doctor currently has me checking my sugar with Glucometer and it has been in the 90-115 range until last night when I began having one of my very sleepy spells, almost as if I had been sedated, felt terrible. Felt same way this morning after 10 hours sleep, could hardly move, took my sugar with the finger prick and it was 160 one hour after eating a bowl of organic oatmeal with tiny bit of honey. I double checked it a few minutes later and it was 158. After another hour (so 2 hours after eating) it was down to 98 and I feel a good bit better. I have had 2 high fasting glucose tolerance tests in last month (101 mcg/dL, and 105 mcg/dL with normal range being 70-100), and a normal Oral Glucose Tolerance Test (GLU GTT-FAST: 99 mg/dL, GLU GTT - 2HR: 84 mg/dL), also normal Insulin of 7.6 uIU/mL (range 2.6 - 24.9) all within the last month.
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