Guest guest Posted July 1, 2006 Report Share Posted July 1, 2006 In a message dated 6/30/06 12:21:54 PM, syracuse46567@... writes: Greetings The news is in and the results are listed below. Glucose start 198 mg/dl Range 70-118 Glucose end 327 mg/dl Range 79-150 Why does he think you have DM? What drugs are you on? Low K diet or low blood K can cause BG to look like DM, esp in PA. Thyroids T4 9.1ug/dl Range 4.5 -12.5 T-uptake 36.5% 22.5 – 37.0 Free Thyroxine index 3.3 1.4 -3.9 TSH 3.720 0.400 – 4.000 First diabetes class is 05JUL First appt with dietician is 07JUL Now I still do not have any of the classic diabetic symptoms. Dont wait for symptoms. DASH now. My old Endo warned me with CAPITOL letters stay from salt substitutes because of the K. Why would he do that. K helps DM and glucoes metaboli9sm and BP. I assume he also told you that in DM it is more important to contorl the BP than the sugar. Goal should be less than 135/85 unless you have protein in the urine. then lower. It also seems to me that this change is happening right now as a new development and again I ask. Is this a sign that the PA (primary hyperaldosterism) is changing? Yes many PAs have glucoes intolerance that gets better with blockage or surgery. Indeed Dr. Conn suggested that perhasp 25% of all DM is caused by PA. Comments Gordon May your pressure be low! C.E. Grim, B.S., M.S., M.D. Specializing in Difficult to Control High Blood Pressure and the Physiology and History of Survival During Hard Times and Heart Disease today. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2006 Report Share Posted July 13, 2006 In a message dated 7/13/06 6:51:13 PM, frand.2@... writes: > > Thyroids > > T4 9.1ug/dl Range 4.5 -12.5 > > T-uptake 36.5% 22.5 â€" 37.0 > > Free Thyroxine index 3.3 1.4 -3.9 > > TSH 3.720 0.400 â€" 4.000 These look normal. Again low K will cause you to look like you have DM. Years ago, my primary put me on Diovan and prescribed HCTZ instead of Maxzide and a few months later, my K was on the bottom number of the range. Fran This is a classic tip-off that you had PA back then. How long has K been a problem and how can you tell it is low? May your pressure be low! C.E. Grim, B.S., M.S., M.D. Specializing in Difficult to Control High Blood Pressure and the Physiology and History of Survival During Hard Times and Heart Disease today. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2006 Report Share Posted July 13, 2006 > I don't know what DM is but I have also read warnings with potassium sparing drugs that we should not use salt substitutes containing K. That may be a problem if our K levels were normal. I guess they think that all of these drugs will raise our K. They assume that everyone is otherwise healthy and do not have a adrenal disorder. Years ago, my primary put me on Diovan and prescribed HCTZ instead of Maxzide and a few months later, my K was on the bottom number of the range. Fran > > > > Why does he think you have DM? What drugs are you on? Low K diet or low > blood K can cause BG to look like DM, esp in PA. > > > > Thyroids > > T4 9.1ug/dl Range 4.5 -12.5 > > T-uptake 36.5% 22.5 †" 37.0 > > Free Thyroxine index 3.3 1.4 -3.9 > > TSH 3.720 0.400 †" 4.000 > > > > First diabetes class is 05JUL > > First appt with dietician is 07JUL > > > > Now I still do not have any of the classic diabetic symptoms. > > > > Dont wait for symptoms. > DASH now. > > > > My old Endo warned me with CAPITOL letters stay from salt > > substitutes because of the K. > > > Why would he do that. K helps DM and glucoes metaboli9sm and BP. I assume > he also told you that in DM it is more important to contorl the BP than the > sugar. > > Goal should be less than 135/85 unless you have protein in the urine. then > lower. > > > > It also seems to me that this change is happening right now as a new > > development and again I ask. Is this a sign that the PA (primary > > hyperaldosterism) is changing? > > > Yes many PAs have glucoes intolerance that gets better with blockage or > surgery. Indeed Dr. Conn suggested that perhasp 25% of all DM is caused by PA. > > > > Comments > > Gordon > > > > > > > > > > > > May your pressure be low! > > C.E. Grim, B.S., M.S., M.D. > Specializing in Difficult to Control High Blood Pressure > and the Physiology and History of Survival During > Hard Times and Heart Disease today. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2006 Report Share Posted July 15, 2006 Dr. Grim, This message has gotten all mixed up I guess by cutting and pasting. The comment about the thryoid tests is not mine. As to the K, the only way I knew it was low was when I saw the lab test results that were done when I was hospitalized (at my request) for hypertension. Even with those test results my doctors (all internists) didn't think it was a problem. I do not feel any different if it is low or if it is OK. Latest test I had, it was 4.3. That test was the first time I ever knew my K was low. I always trusted doctors to keep an eye on things. Fran > > > In a message dated 7/13/06 6:51:13 PM, frand.2@... writes: > > > > > > Thyroids > > > > T4 9.1ug/dl Range 4.5 -12.5 > > > > T-uptake 36.5% 22.5 †" 37.0 > > > > Free Thyroxine index 3.3 1.4 -3.9 > > > > TSH 3.720 0.400 †" 4.000 > > > > These look normal. Again low K will cause you to look like you have DM. > > Years ago, my primary put me on Diovan and prescribed HCTZ instead of > Maxzide and a few months later, my K was on the bottom number of the > range. > > Fran > > This is a classic tip-off that you had PA back then. How long has K been a > problem and how can you tell it is low? > > > > May your pressure be low! > > C.E. Grim, B.S., M.S., M.D. > Specializing in Difficult to Control High Blood Pressure > and the Physiology and History of Survival During > Hard Times and Heart Disease today. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 In a message dated 7/15/06 6:04:02 PM, frand.2@... writes: Latest test I had, it was 4.3. That test was the first time I ever knew my K was low. I always trusted doctors to keep an eye on things. One of the first things spiro does is to correct the K. Most Drs unforunately forgot what they learned in medical school. Any HTN patient with a low K forces you to at least think about PA and today to test for it as it is much easier to test for that it used to be. May your pressure be low! C.E. Grim, B.S., M.S., M.D. Specializing in Difficult to Control High Blood Pressure and the Physiology and History of Survival During Hard Times and Heart Disease today. Quote Link to comment Share on other sites More sharing options...
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