Tuesday, October 10, 2006

The Symptom Game

Okay, folks...how's it going in guessing your BGLs based on your symptoms? Learned anything? And yes, if you found it proved to be a worthless exercise, and you learned I'm nothing but a dweeb, that counts.

I have two topics to discuss today related to diabetes. The first is regarding yet another symptom to watch out for.

In general, going high for a short while is no biggie. But staying high can be dangerous. So, what symptoms can you look for? There are the usuals, such as extreme thirst, frequent urination, feeling a big sluggish. But how about feeling full?

I realized this past week that I've never mentioned this one. Well, at least I don't remember mentioning it. If I have, consider this a refresher. Because when your BGL goes high, your body attempts to halt the digestion process. It doesn't need any more food, since there is already a backlog in your bloodstream.

Generally, if you eat, within an hour or two, you tend to feel normal again...as in, not full. But if you are high, an hour or two later, you may feel like you just finished Thankgiving dinner. For me, this is a sure sign that I'm high. It means my digestive system has shut down for the time being, and usually, I'm pretty safe to give myself a large bolus...first, to cover the already high BGL, and second, to cover the food that remains undigested in my stomach.

And the second topic is in response to a news item I read today where a diabetic man, 35 years old, was confronted by police. The man was hallucinating and experienced seizures. The police weren't aware of his diabetes, however, and they had to use a tazer to get him under control. Problem is, the tazer ultimately killed him.

It is sad, but not altogether unusual. (Well, the tazering and dying might be unusual, but I'm talking about the fact that the police misjudged the man's actions.) This is a danger diabetics face...that if they experience a particularly bad low, the symptoms that result could be mistaken by others for improper behave, such as being drunk or violent. And, in some cases, the response taken by others to protect themselves could be dangerous or downright deadly.

I don't blame the police. How are they supposed to know the difference unless diabetics wear bright read tattoos across their forehead with the Medic Alert symbol or something? They can't. Which means it becomes our responsibility as diabetics to do what we can to prevent these situations.

As much as we work to keep ourselves from being high...being low is worse. I've mentioned it before, but the reason my doctor ultimately put me on the pump was not because my A1c levels were horrible (since I was managing about a 7.1 while on 4-5 shots a day). It was because in order to achieve that level, I was experiencing frequent lows. Lows are dangerous, sometimes from external sources.

So if you could do anything to improve your life as a diabetic, the first and foremost place to start is keeping your BGLs up and not down.