Discussions By Condition: Diabetes

Help--possible Misdiagnosis

Posted In: Diabetes 1 Replies
  • Posted By: Anonymous
  • November 17, 2006
  • 07:31 PM

Firstly, I am a 24 year old female and I have a question. I was sick a couple of months ago with dizzy spells, nausea, and lethargy. I went to the doc numerous times and each time I would have a little fever and my white blood cell was high, so they claimed it was a viral and bacterial infection. But in the mean time, they did a fasting blood glucose test, which was 72. They wanted me to continue monitoring myself and I tested 200 postprandial on 2 occassion.

My mother has hypoglycemia and my grandmother on her side had type 1 diabetes. Eventually they hospitalized me, because I was extremely dehydrated and they tested my sugars every four hours in the hospital receiving normal results in the morning and throughout early afternoon only to finally get a result of 170 late afternoon (I had been on a liquid diet only).

Since leaving the hospital, my sugars have been normal, never exceeding 150 and I have had more lows than anything (in the 50's and 60's). I am not taking any meds nor insulin and I am slim. I have always exercised everyday for 30 minutes and I walk to and from work about 20 additional minutes a day. Is it possible that I was misdiagnosed?

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  • You could have a form of diabetes called Latent Autoimmune Diabtes in Adults (LADA). It is more commonly seen in patients over age 30 but it can occur in the 20s as well. LADA is a slowly progressive diabetes that often mimicks type 2 (but patients are of normal weight). Since the pancreas does produce insulin in the beginning stages of LADA (which can last for years) you can have mild hyperglycemia and also hypoglycemia.High blood sugar is not a part of either reactive or fasting hypoglycemia (hypoglycemia unrelated to diabetes). Your blood sugar was abnormally high for whatever reason.There is another form of diabetes, but it typically occurs in patients younger than you are, called MODY. There are 5 or 6 types of MODY but at least one (MODY 5) causes the lows and mild highs you reported. There are tests to rule out either form of diabetes mentioned above. But please do keep monitoring your blood sugar. Something is clearly amiss -- and it make not be diabetes at all as there are other disorders (hemochromatosis, cushings, PCOS, etc.) that can cause these similar symptoms but considering diabetes is usually the most obvious choice. If you doctor has not already done a c-peptide test, you might ask for one to be done. This measures the amount of insulin your pancreas produces. If nothing else, and significant changes in results from a test now and one later on could be very telling.Good luck to you!Lahle Wolfewww.isletsofhope.com
    Anonymous 42,789 Replies
    • February 12, 2007
    • 03:38 AM
    • 0
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