hyoglycemiap

[yellowsmom]

My 3 year old daughter had a fasting glucsoe tolerance test done last week. We got her results today and they weren't what we expceted. Her inital blood sugar was 88, 2 hours after drinking the sugar supplement her blood sugar was 50.
Has any body else experienced this and how did you treat it? She is any EXTREMELY active child and we have attributed her level of activity to her very slow weight gain.

 

[yellowsmom]

My 3 year old daughter had a fasting glucsoe tolerance test done last week. We got her results today and they weren't what we expceted. Her inital blood sugar was 88, 2 hours after drinking the sugar supplement her blood sugar was 50.
Has any body else experienced this and how did you treat it? She is any EXTREMELY active child and we have attributed her level of activity to her very slow weight gain.

 

[yellowsmom]

My 3 year old daughter had a fasting glucsoe tolerance test done last week. We got her results today and they weren't what we expceted. Her inital blood sugar was 88, 2 hours after drinking the sugar supplement her blood sugar was 50.
Has any body else experienced this and how did you treat it? She is any EXTREMELY active child and we have attributed her level of activity to her very slow weight gain.

 

[yellowsmom]

My 3 year old daughter had a fasting glucsoe tolerance test done last week. We got her results today and they weren't what we expceted. Her inital blood sugar was 88, 2 hours after drinking the sugar supplement her blood sugar was 50.
Has any body else experienced this and how did you treat it? She is any EXTREMELY active child and we have attributed her level of activity to her very slow weight gain.

 

[yellowsmom]

My 3 year old daughter had a fasting glucsoe tolerance test done last week. We got her results today and they weren't what we expceted. Her inital blood sugar was 88, 2 hours after drinking the sugar supplement her blood sugar was 50.
Has any body else experienced this and how did you treat it? She is any EXTREMELY active child and we have attributed her level of activity to her very slow weight gain.

 

[yellowsmom]

My 3 year old daughter had a fasting glucsoe tolerance test done last week. We got her results today and they weren't what we expceted. Her inital blood sugar was 88, 2 hours after drinking the sugar supplement her blood sugar was 50.
Has any body else experienced this and how did you treat it? She is any EXTREMELY active child and we have attributed her level of activity to her very slow weight gain.

 

[ktsmom]

I just posted with a similar question but on the other end of the spectrum. Have you seen this publication from cff.org?

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD%20Manual.pdf
">http://www.cff.org/UploadedFil...RD%20Manual.pdf
</a>

(hope the link works)

It covers many issues related to CFRD and blood sugar. See Chapter 7, Hypoglycemia.

 

[ktsmom]

I just posted with a similar question but on the other end of the spectrum. Have you seen this publication from cff.org?

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD%20Manual.pdf
">http://www.cff.org/UploadedFil...RD%20Manual.pdf
</a>

(hope the link works)

It covers many issues related to CFRD and blood sugar. See Chapter 7, Hypoglycemia.

 

[ktsmom]

I just posted with a similar question but on the other end of the spectrum. Have you seen this publication from cff.org?

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD%20Manual.pdf
">http://www.cff.org/UploadedFil...RD%20Manual.pdf
</a>

(hope the link works)

It covers many issues related to CFRD and blood sugar. See Chapter 7, Hypoglycemia.

 

[ktsmom]

I just posted with a similar question but on the other end of the spectrum. Have you seen this publication from cff.org?

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD%20Manual.pdf
">http://www.cff.org/UploadedFil...RD%20Manual.pdf
</a>

(hope the link works)

It covers many issues related to CFRD and blood sugar. See Chapter 7, Hypoglycemia.

 

[ktsmom]

I just posted with a similar question but on the other end of the spectrum. Have you seen this publication from cff.org?

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD%20Manual.pdf
">http://www.cff.org/UploadedFil...RD%20Manual.pdf
</a>

(hope the link works)

It covers many issues related to CFRD and blood sugar. See Chapter 7, Hypoglycemia.

 

[ktsmom]

I just posted with a similar question but on the other end of the spectrum. Have you seen this publication from cff.org?

<a target=_blank class=ftalternatingbarlinklarge href="http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD%20Manual.pdf
">http://www.cff.org/UploadedFil...RD%20Manual.pdf
</a>

(hope the link works)

It covers many issues related to CFRD and blood sugar. See Chapter 7, Hypoglycemia.

 

[tammykrumrey]

I do not have CF, my daughters do. But I am hypoglycemic myself. I remember, even as a child, getting very lightheaded and the feeling that I was going to pass out. It became worst as I a teenager and then college student. I cannot count how many times I passed out due to my sugar crashing. One time I was working at a video store, by myself, and I felt it coming. I shut the cash register and tried to get to the back office. I woke up to customers shaking me. I had busted my head on a drinking fountain on the way down<img src="i/expressions/face-icon-small-sad.gif" border="0"> I was 20-21 years old then, and was finally tested for everything under the moon. I never really had it under control until years later.

I started having headaches in the mornings, was exhausted throughout the afternoons, especially after lunch. I decided to see another doctor and the results were the same, hypoglycemia. He had me cut out simple sugars/breads/pastas, etc. And I have to tell you...within a week I was a different person. That was almost four years ago, and I really wish I would had done it sooner. (Another doctor had told me this years earlier, but I didn't listen)

I have not had problems with it at all really. If I eat a HIGH carbohydrate meal, I get very sleepy and cranky. If I start feeling shaky, the doctor told me to drink a glass of milk, or eat some cheese. He said to not eat more high sugar foods, because I will eventually drop lower again. It really has worked for me.

I have thought that my 9 year old daughter has the same issue. I know the diabetes connection to CF, but I was curious as to the hypoglycemia. I found an article that shows that CF patients with a class I mutation (which my daughter has) frequently have hypoglycemia.

Hope this information helps<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[tammykrumrey]

I do not have CF, my daughters do. But I am hypoglycemic myself. I remember, even as a child, getting very lightheaded and the feeling that I was going to pass out. It became worst as I a teenager and then college student. I cannot count how many times I passed out due to my sugar crashing. One time I was working at a video store, by myself, and I felt it coming. I shut the cash register and tried to get to the back office. I woke up to customers shaking me. I had busted my head on a drinking fountain on the way down<img src="i/expressions/face-icon-small-sad.gif" border="0"> I was 20-21 years old then, and was finally tested for everything under the moon. I never really had it under control until years later.

I started having headaches in the mornings, was exhausted throughout the afternoons, especially after lunch. I decided to see another doctor and the results were the same, hypoglycemia. He had me cut out simple sugars/breads/pastas, etc. And I have to tell you...within a week I was a different person. That was almost four years ago, and I really wish I would had done it sooner. (Another doctor had told me this years earlier, but I didn't listen)

I have not had problems with it at all really. If I eat a HIGH carbohydrate meal, I get very sleepy and cranky. If I start feeling shaky, the doctor told me to drink a glass of milk, or eat some cheese. He said to not eat more high sugar foods, because I will eventually drop lower again. It really has worked for me.

I have thought that my 9 year old daughter has the same issue. I know the diabetes connection to CF, but I was curious as to the hypoglycemia. I found an article that shows that CF patients with a class I mutation (which my daughter has) frequently have hypoglycemia.

Hope this information helps<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[tammykrumrey]

I do not have CF, my daughters do. But I am hypoglycemic myself. I remember, even as a child, getting very lightheaded and the feeling that I was going to pass out. It became worst as I a teenager and then college student. I cannot count how many times I passed out due to my sugar crashing. One time I was working at a video store, by myself, and I felt it coming. I shut the cash register and tried to get to the back office. I woke up to customers shaking me. I had busted my head on a drinking fountain on the way down<img src="i/expressions/face-icon-small-sad.gif" border="0"> I was 20-21 years old then, and was finally tested for everything under the moon. I never really had it under control until years later.

I started having headaches in the mornings, was exhausted throughout the afternoons, especially after lunch. I decided to see another doctor and the results were the same, hypoglycemia. He had me cut out simple sugars/breads/pastas, etc. And I have to tell you...within a week I was a different person. That was almost four years ago, and I really wish I would had done it sooner. (Another doctor had told me this years earlier, but I didn't listen)

I have not had problems with it at all really. If I eat a HIGH carbohydrate meal, I get very sleepy and cranky. If I start feeling shaky, the doctor told me to drink a glass of milk, or eat some cheese. He said to not eat more high sugar foods, because I will eventually drop lower again. It really has worked for me.

I have thought that my 9 year old daughter has the same issue. I know the diabetes connection to CF, but I was curious as to the hypoglycemia. I found an article that shows that CF patients with a class I mutation (which my daughter has) frequently have hypoglycemia.

Hope this information helps<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[tammykrumrey]

I do not have CF, my daughters do. But I am hypoglycemic myself. I remember, even as a child, getting very lightheaded and the feeling that I was going to pass out. It became worst as I a teenager and then college student. I cannot count how many times I passed out due to my sugar crashing. One time I was working at a video store, by myself, and I felt it coming. I shut the cash register and tried to get to the back office. I woke up to customers shaking me. I had busted my head on a drinking fountain on the way down<img src="i/expressions/face-icon-small-sad.gif" border="0"> I was 20-21 years old then, and was finally tested for everything under the moon. I never really had it under control until years later.

I started having headaches in the mornings, was exhausted throughout the afternoons, especially after lunch. I decided to see another doctor and the results were the same, hypoglycemia. He had me cut out simple sugars/breads/pastas, etc. And I have to tell you...within a week I was a different person. That was almost four years ago, and I really wish I would had done it sooner. (Another doctor had told me this years earlier, but I didn't listen)

I have not had problems with it at all really. If I eat a HIGH carbohydrate meal, I get very sleepy and cranky. If I start feeling shaky, the doctor told me to drink a glass of milk, or eat some cheese. He said to not eat more high sugar foods, because I will eventually drop lower again. It really has worked for me.

I have thought that my 9 year old daughter has the same issue. I know the diabetes connection to CF, but I was curious as to the hypoglycemia. I found an article that shows that CF patients with a class I mutation (which my daughter has) frequently have hypoglycemia.

Hope this information helps<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[tammykrumrey]

I do not have CF, my daughters do. But I am hypoglycemic myself. I remember, even as a child, getting very lightheaded and the feeling that I was going to pass out. It became worst as I a teenager and then college student. I cannot count how many times I passed out due to my sugar crashing. One time I was working at a video store, by myself, and I felt it coming. I shut the cash register and tried to get to the back office. I woke up to customers shaking me. I had busted my head on a drinking fountain on the way down<img src="i/expressions/face-icon-small-sad.gif" border="0"> I was 20-21 years old then, and was finally tested for everything under the moon. I never really had it under control until years later.

I started having headaches in the mornings, was exhausted throughout the afternoons, especially after lunch. I decided to see another doctor and the results were the same, hypoglycemia. He had me cut out simple sugars/breads/pastas, etc. And I have to tell you...within a week I was a different person. That was almost four years ago, and I really wish I would had done it sooner. (Another doctor had told me this years earlier, but I didn't listen)

I have not had problems with it at all really. If I eat a HIGH carbohydrate meal, I get very sleepy and cranky. If I start feeling shaky, the doctor told me to drink a glass of milk, or eat some cheese. He said to not eat more high sugar foods, because I will eventually drop lower again. It really has worked for me.

I have thought that my 9 year old daughter has the same issue. I know the diabetes connection to CF, but I was curious as to the hypoglycemia. I found an article that shows that CF patients with a class I mutation (which my daughter has) frequently have hypoglycemia.

Hope this information helps<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[tammykrumrey]

I do not have CF, my daughters do. But I am hypoglycemic myself. I remember, even as a child, getting very lightheaded and the feeling that I was going to pass out. It became worst as I a teenager and then college student. I cannot count how many times I passed out due to my sugar crashing. One time I was working at a video store, by myself, and I felt it coming. I shut the cash register and tried to get to the back office. I woke up to customers shaking me. I had busted my head on a drinking fountain on the way down<img src="i/expressions/face-icon-small-sad.gif" border="0"> I was 20-21 years old then, and was finally tested for everything under the moon. I never really had it under control until years later.

I started having headaches in the mornings, was exhausted throughout the afternoons, especially after lunch. I decided to see another doctor and the results were the same, hypoglycemia. He had me cut out simple sugars/breads/pastas, etc. And I have to tell you...within a week I was a different person. That was almost four years ago, and I really wish I would had done it sooner. (Another doctor had told me this years earlier, but I didn't listen)

I have not had problems with it at all really. If I eat a HIGH carbohydrate meal, I get very sleepy and cranky. If I start feeling shaky, the doctor told me to drink a glass of milk, or eat some cheese. He said to not eat more high sugar foods, because I will eventually drop lower again. It really has worked for me.

I have thought that my 9 year old daughter has the same issue. I know the diabetes connection to CF, but I was curious as to the hypoglycemia. I found an article that shows that CF patients with a class I mutation (which my daughter has) frequently have hypoglycemia.

Hope this information helps<img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[tammykrumrey]

Here is the article I found. It really doesn't give much advice, but it does suggest that it can be an issue in CF patients.


Spontaneous hypoglycemia in patients with cystic fibrosis.Battezzati A, Battezzati PM, Costantini D, Seia M, Zazzeron L, Russo MC, Daccò V, Bertoli S, Crosignani A, Colombo C.
Department of Pediatrics, CF Center, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Italy. alberto.attezzati@unimi.it

OBJECTIVE: Diabetes frequently complicates cystic fibrosis (CF) without fasting hyperglycemia or despite spontaneous hypoglycemia (anecdotally ascribed to malnutrition), whose prevalence, clinical meaning, and relationship with glucose tolerance and clinical/nutritional status were not previously investigated. The relationship of CF genotype with insulin secretion control is also unclear. DESIGN AND METHODS: A total of 129 CF patients without stable diabetes received 188 oral glucose tolerance tests. Distribution of fasting plasma glucose (FPG), glucose, insulin and C-peptide responses, clinical/nutritional variables, and their relationships were analyzed. RESULTS: FPG < 60 mg/dl (3.3 mmo/l) was detected in 14% of studies and reactive hypoglycemia (PG < 50 mg/dl (2.8 mmo/l)) in 15%. OGTT-based diabetes frequency was similar in the lowest quartile (Q1) and Q2-3 for FPG (10 and 8%), with higher glucose increment and area under the curve in Q1. Insulin and C-peptide levels were similar among FPG quartiles. Class I cystic fibrosis transmembrane conductance regulator mutation carriers had higher insulin concentrations than class II, especially in Q1 for FPG. Age, sex, nutritional, and anthropometric parameters including fat and lean body mass were unrelated to FPG. Lower FPG was associated with more frequent hospitalization rates (P = 0.002) and lower Shwachman scores (P = 0.041). Steroids weaning was accurately evaluated but then excluded as a possible cause of hypoglycemia. CONCLUSIONS/INTERPRETATION: Fasting asymptomatic hypoglycemia is frequent and possibly related to inappropriate insulin secretion control in class I mutation carriers. Low FPG does not exclude impaired glucose tolerance (IGT) and diabetes in CF and reflects worse clinical status.

 

[tammykrumrey]

Here is the article I found. It really doesn't give much advice, but it does suggest that it can be an issue in CF patients.


Spontaneous hypoglycemia in patients with cystic fibrosis.Battezzati A, Battezzati PM, Costantini D, Seia M, Zazzeron L, Russo MC, Daccò V, Bertoli S, Crosignani A, Colombo C.
Department of Pediatrics, CF Center, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Italy. alberto.attezzati@unimi.it

OBJECTIVE: Diabetes frequently complicates cystic fibrosis (CF) without fasting hyperglycemia or despite spontaneous hypoglycemia (anecdotally ascribed to malnutrition), whose prevalence, clinical meaning, and relationship with glucose tolerance and clinical/nutritional status were not previously investigated. The relationship of CF genotype with insulin secretion control is also unclear. DESIGN AND METHODS: A total of 129 CF patients without stable diabetes received 188 oral glucose tolerance tests. Distribution of fasting plasma glucose (FPG), glucose, insulin and C-peptide responses, clinical/nutritional variables, and their relationships were analyzed. RESULTS: FPG < 60 mg/dl (3.3 mmo/l) was detected in 14% of studies and reactive hypoglycemia (PG < 50 mg/dl (2.8 mmo/l)) in 15%. OGTT-based diabetes frequency was similar in the lowest quartile (Q1) and Q2-3 for FPG (10 and 8%), with higher glucose increment and area under the curve in Q1. Insulin and C-peptide levels were similar among FPG quartiles. Class I cystic fibrosis transmembrane conductance regulator mutation carriers had higher insulin concentrations than class II, especially in Q1 for FPG. Age, sex, nutritional, and anthropometric parameters including fat and lean body mass were unrelated to FPG. Lower FPG was associated with more frequent hospitalization rates (P = 0.002) and lower Shwachman scores (P = 0.041). Steroids weaning was accurately evaluated but then excluded as a possible cause of hypoglycemia. CONCLUSIONS/INTERPRETATION: Fasting asymptomatic hypoglycemia is frequent and possibly related to inappropriate insulin secretion control in class I mutation carriers. Low FPG does not exclude impaired glucose tolerance (IGT) and diabetes in CF and reflects worse clinical status.