Not feeling right for the past week

[PhyllisAnn]

I wad diagnosed diabetic back in Sept 05..so has been about 10 months ago..I started on meds. I take Amaryl (Glimepiride) 4 mg in the AM..and Glucophage)metformin1000 mg in the evening,plus a Lantus insulin shot in the evening...25 units. (Dr. keeps increasing the units due to higher sugar in the AM). Anyway..I think it's due to my time schedule..but I could be wrong. (oh I also take blood pressure medicine..started taking that before I was diagnosed with diabetes). I have been going into work earlier this past week..and I go to bed earlier..but I toss and turn all night..so not getting the hours sleep I need, plus get these dull headaches in the morning. I am having to take my meds before bedtime earlier..since I go to bed earlier, and take my meds in the morning earlier too. In other words..off my routine some. Well.today at work, I broke out in a cold sweat, and I use to attribute all of that to pre menopause..because I've been having nights sweats for several years now. But I just felt weird and like my head was in a fog. I came home..and took a much needed nap. I wish I had taken my glucometer to work to see what my blood sugar was, but I didn't. (I will from now on!) But I took my sugar when I did get home and it wasn't really low....96, but it had started out at 160 this morning..about 3 hours before. Anyway..guess I'm trying to figure out..is it my work schedule...so having to take my meds at different times..and that got out of whack...or is it from lack of sleep, or a combination of things? I took my blood pressure when I got home it was 114./67. the doctor wrote down what a normal average blood pressure for me should be and it would be around 130/80..so guess it was a bit low. I did call the dr's office and he's suppose to call me back. Just wondering if anyone has experienced "off weeks"..where you just feel tired....head in a fog...intense sweating.where I just read that someone else has that problem, and dull headaches?

[SamQKitty]

PhyllisAnn,
It sounds like you may have had a low. If you were at 96 by the time you got home, it's possible you had been lower at work when you started feeling weird. If your blood sugar goes low enough, then the liver will kick in and put out glycogen to raise your blood sugar.

I question why your doctor just keeps raising your Lantus dose if it's only your morning bg levels that are high. Lantus is a 24-hour basal insulin, and increasing the dose is going to make you lower ALL day, not just in the morning. I suspect that the combination of the increased lantus dose plus the change in your schedule could definitely be responsible for this "weird" attack. Breaking out in a cold sweat PLUS feeling weird and brain fog is a classic presentation of low blood sugar!

Do keep your monitor with you and test immediately if this happens again. If, in fact, you are experiencing low blood sugar, you may need to cut back on the Lantus and just add another dose of Amaryl in the evening, although frankly, if your blood sugars are still frequently running as high as 160 in the morning, you may really need to be totally on insulin...Lantus as a basal, and humalog before meals. I know this is probably NOT what you want to hear (and who can blame you!), but it really is important to get your numbers under control sooner rather than later.

Ruth

[PhyllisAnn]

Thank you....it was just a sudden drop. And I did that my glucometer to work with me today and I was fine. It was just a very weird feeling. The doctor may check my meds and shot yet..not sure.