'Diebetic hypos"

[George7]

Due to a pitutary tumor operation over 20 years ago, my Pitutory was damaged quiet a bit and after the operation I turned into a bad diabetic.

Now here is the problem, because when I am in or exiting a hypo my sugar reading are often 10 to 14+ so the Ambos, doctors, nurses so you are not having a hypo, I have been bashed and slapped around by nursers say it not a hypo and wake up, couple of weeks ago and another hypo and treated rather badly by ambos doctors and especially the hospitel emergency staff who all claimed its not a hypo and one claimed I was fakeing to get symphathy; Question I would like to know, does any Dr have the brains or knowlege to treat me with the respect I should get and say it a hypo.

[Dr_Kim]

Hi George7,

I think what is happening is that you are having a problem with language and describing what is happening to you. 

A “hypo” is a short hand term for a hypoglycaemic episode and is defined as a blood sugar below 4mmol/L. It usually happens to people on Insulin( a drug used to drop sugar levels in the blood) who then take too much insulin or not enough sugar after the insulin to balance the effects of it.
 
So when they say you are not having a “hypo” with a blood sugar of 10-14 , they are technically correct. 
 
However, that doesn’t help you to feel understood, cared for and treated with respect and compassion. You are still feeling unwell and need care but maybe it needs a different name . Maybe labile or unstable blood sugar is a better term as it describes a situation where someone sugars go up and down chaotically.. So maybe a letter from your endocrinologist explaining that you have unstable sugar levels that then may cause the following symptoms …(and then get them to list them )…. might help the professionals who are caring for you to understand the picture more clearly. 
 
Not knowing your medical history and understanding your clinical picture it is hard for me to be clear about why your body is responding the way it is but I have found in these situations, a frank discussion with your specialists might help to clarify in your mind ( and the mind of others) why you are still not conscious with a blood sugar of 10-14 where others seem to be and if not, then what is it about the way your body responds that delays it from “getting itself back on its feet” after a low blood sugar. 
 
I hope this intervention helps you get more empathic care in future.

[George7]

Hi Dr. Kim, many thanks for your reply, yes it a rather complicated matter, last year I was sent fromwhere I live after a another hypo eposode. ( for a better name i will still call it as such) to Hospital, treated by 3 Diabetic doctors includeing a top diabet specialist, stayed a week for many test, they could not pinpoint the reason why I was having Hypo, no tests have ever been done to see or check my sugar level at the start of my hypo from my memory. The specialists seem to think mabe my sugar had droped to a low of ? trigering the hypo, as pitutory gland is damage from tumor operation it reponse is erratic, so liver and pancress respond by releasing large amounts of sugar and hence the high readings, they called a "Rebound Hypo" for want of a better name. For me the stress has become to big and badly effects my health, this so called magic bullet of 4 is total madness, every persons body is different and Dr. should be smart enough to respect it as such, a hypo is a hypo no mater what the reading are when coming out of it or in the middle of it, liver and pancress has released sugar to counteract the problem. I will try and get the specialist to write a letter to other Dr. Nurses and Ambos.