Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 1. HbA1c will get better after glucose gets better on same dose.2. No if you are able to manage with lower doses of metformin then why take it?3. If you still need metformin then you have not reversed the low K high aldo induced glucose intolerance.4. May need more epler? Only testing over time will tell. CE Grim MDOn Jan 26, 2012, at 10:37 AM, Natalia Kamneva wrote: > No in many Pas the DM is caused by the PA. 1. Is the PA considered fixed, when I am on 87.5 mg of epler and Dashing? What do you considered as a fixed PA?2. What is the indicator, that the DM goes away? HbA1C is going to be better? Morning every day's glucose is better with the same dosage of metformin? 3. If I decrease the dosage of metformin, what effect to these numbers should I expect? Your guess is that the less metformnin, the better glucose intolerance should be? Thank you, Natalia From: Clarence Grim <lowerbp2@...> "hyperaldosteronism " <hyperaldosteronism > Sent: Thursday, January 26, 2012 1:04 AM Subject: Re: Re: Statins linked to diabetes No in many Pas the DM is caused by the PA. FIX THE PA and the DM GOES AWAY. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jan 25, 2012, at 15:31, Natalia Kamneva <natalia_kamneva@...> wrote: I even don't know what to do now :-) Natalia From: <jclark24p@...> hyperaldosteronism Sent: Tuesday, January 24, 2012 7:45 PM Subject: Re: Statins linked to diabetes Natalia I again tried to find any indication of a HbA1C goal higher than 7.0, some use <7.0 and most use <6.5. I have also not seen anything talking about it being age dependent. I have searched Pubmed and the ADA site and find nothing so I again ask if anyone has info to substantiate it. With it being an average over approx. a 3month period my mathemit > > > Â > >I agree. > > > > > > > >Natalia > > > > > >________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 Her age would permit a HbA1c of 6 or maybe even 6.5 I would think.She weighs about 1/3 of what you weigh as I recall. So you have other reasons to be insulin resistant I would think. CE Grim MDOn Jan 26, 2012, at 10:38 AM, Natalia Kamneva wrote: Me too. Natalia Kamneva 67 Russian F with 2 cm left adrenal adenoma, still not diagnosed with PA; diabetic; on 100 mg eplerenone, 80 mg Micardis, 2000 mg metformin, 60 mg Dexilant and 2 mg Lorazepam; Dashing; still have some occasional problems with BP, K and Na; on private consultation with Dr Grim. From: <jclark24p@...> hyperaldosteronism Sent: Thursday, January 26, 2012 7:25 AM Subject: Re: Statins linked to diabetes As A1C goal for people w/o DM is in the 5 range are you saying the reading will go down if she lowers Metformin when she gets PA under control? I found the opposite to be true, in fact I had to double Metformin from 1000 to 2000. > > > >> > > > > >> >> > > > >> >> > > > >> >> >Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication > > > >> >> > > > >> >> Did you see any studies on that or it's just your experience and intuition, Max? > > > >> >> > > > >> >> I am very curious because I always suspected that the large dosage different HTN medications caused my diabetes. I like you started Metformin about 10 years being on HTN medications. No family history of diabetes, and I even didn't have marginally numbers. My experience with Metformin is different. Even if I take 2000 mg, my appetite is the same :-) > > > >> >> > > > >> >> Natalia > > > >> >> From: StudyCircle <studycircle@> > > > >> >> hyperaldosteronism > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > >> >> Subject: RE: Re: Statins linked to diabetes > > > >> >> > > > >> >> > > > >> >> Hi , > > > >> >> > > > >> >> I am not sure about the details on this research but I suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 mg/dL . Assuming that she starts statins now she perhaps get to 16 in some 5 years and 126 is not so bad because with some Metformin it can be overcome and another 5 years to level that she might need insulin...something like this...so it's good idea to see what level of diabetics disorder and in how many years one get to such level. > > > >> >> > > > >> >> Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication...of course my GLUCF was always marginally high but I was not taking Metformin...and I suspect Metformin reduced my appetite considerably because I am finding myself unable to finish a half plate of food that until last year I could easily finish ! not bad... > > > >> >> > > > >> >> So basically I assume becoming diabetic is gradual and not as bad as HTN if it is taken care medically, i.e., not allowing glaucoma or cataract ...etc. > > > >> >> > > > >> >> Max. > > > >> >> > > > >> >> |Thanks Max, a very timely message for my wife. Her Card just insisted she be > > > >> >> |on statins and I asked her if he did a family HX. He didn't but if he had he > > > >> >> |would have found her Dad died at 84, her Mom at 93 and her Grandmother at > > > >> >> |97. She is the youngest of 8 and 7 are still living, one brother died of colon > > > >> >> |cancer. Of course maybe he just wants to make sure she doesn't die from > > > >> >> |heart attack, it'll be listed as complications due to DM! I printed it and > > > >> >> |suggested she discuss it with him! > > > >> >> | > > > >> >> |.... > > > >> >> | > > > >> >> > > > >> >> > > > >> >> > > > >> >> > > > >> > > > > >> > > > > >> > > > > >> > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 You are very close keep up the good work!.The last 1.4 will be the hardest. CE Grim MDOn Jan 26, 2012, at 10:44 AM, Natalia Kamneva wrote: Mine is 26.4. I try my best! Natalia From: Clarence Grim <lowerbp2@...> "hyperaldosteronism " <hyperaldosteronism > Sent: Thursday, January 26, 2012 9:34 AM Subject: Re: Re: Statins linked to diabetes The A1c goal is Not 5 that I am aware of. Is your BMI LESS THAN 25 yet? May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jan 26, 2012, at 5:25, <jclark24p@...> wrote: As A1C goal for people w/o DM is in the 5 range are you saying the reading will go down if she lowers Metformin when she gets PA under control? I found the opposite to be true, in fact I had to double Metformin from 1000 to 2000. > > > >> > > > > >> >> > > > >> >> > > > >> >> >Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication > > > >> >> > > > >> >> Did you see any studies on that or it's just your experience and intuition, Max? > > > >> >> > > > >> >> I am very curious because I always suspected that the large dosage different HTN medications caused my diabetes. I like you started Metformin about 10 years being on HTN medications. No family history of diabetes, and I even didn't have marginally numbers. My experience with Metformin is different. Even if I take 2000 mg, my appetite is the same :-) > > > >> >> > > > >> >> Natalia > > > >> >> From: StudyCircle <studycircle@> > > > >> >> hyperaldosteronism > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > >> >> Subject: RE: Re: Statins linked to diabetes > > > >> >> > > > >> >> > > > >> >> Hi , > > > >> >> > > > >> >> I am not sure about the details on this research but I suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 mg/dL . Assuming that she starts statins now she perhaps get to 16 in some 5 years and 126 is not so bad because with some Metformin it can be overcome and another 5 years to level that she might need insulin...something like this...so it's good idea to see what level of diabetics disorder and in how many years one get to such level. > > > >> >> > > > >> >> Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication...of course my GLUCF was always marginally high but I was not taking Metformin...and I suspect Metformin reduced my appetite considerably because I am finding myself unable to finish a half plate of food that until last year I could easily finish ! not bad... > > > >> >> > > > >> >> So basically I assume becoming diabetic is gradual and not as bad as HTN if it is taken care medically, i.e., not allowing glaucoma or cataract ...etc. > > > >> >> > > > >> >> Max. > > > >> >> > > > >> >> |Thanks Max, a very timely message for my wife. Her Card just insisted she be > > > >> >> |on statins and I asked her if he did a family HX. He didn't but if he had he > > > >> >> |would have found her Dad died at 84, her Mom at 93 and her Grandmother at > > > >> >> |97. She is the youngest of 8 and 7 are still living, one brother died of colon > > > >> >> |cancer. Of course maybe he just wants to make sure she doesn't die from > > > >> >> |heart attack, it'll be listed as complications due to DM! I printed it and > > > >> >> |suggested she discuss it with him! > > > >> >> | > > > >> >> |.... > > > >> >> | > > > >> >> > > > >> >> > > > >> >> > > > >> >> > > > >> > > > > >> > > > > >> > > > > >> > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (30) Recent Activity: New Members 6 New Files 1 Visit Your Group Switch to: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 I agree with everything you say here except her weight. If she weighs 1/3 of me (97 lbs) and hrt BMI is just over 26 she better be one of the " Little People " ! ;>) We decided she is slightly older than I (very slight!) The range you quote is exactly what my team wants to see. With the funeral and everything I have not had time to see when the range changed but I suspect it was soon after I was DXed, maybe 2 years or so. I remember discussing it with my PCP at that time. And there is a very good chance there is another reason I might be insulin resistant, it's called " Agent Orange Exposure " ! - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate 10mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > > > >> > > > > > > >> >> > > > > > >> >> > > > > > >> >> >Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication > > > > > >> >> > > > > > >> >> Did you see any studies on that or it's just your > > experience and intuition, Max? > > > > > >> >> > > > > > >> >> I am very curious because I always suspected that the > > large dosage different HTN medications caused my diabetes. I like > > you started Metformin about 10 years being on HTN medications. No > > family history of diabetes, and I even didn't have marginally > > numbers. My experience with Metformin is different. Even if I take > > 2000 mg, my appetite is the same :-) > > > > > >> >> > > > > > >> >> Natalia > > > > > >> >> From: StudyCircle <studycircle@> > > > > > >> >> hyperaldosteronism > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > >> >> Subject: RE: Re: Statins linked to > > diabetes > > > > > >> >> > > > > > >> >> > > > > > >> >> Hi , > > > > > >> >> > > > > > >> >> I am not sure about the details on this research but I > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > in some 5 years and 126 is not so bad because with some Metformin it > > can be overcome and another 5 years to level that she might need > > insulin...something like this...so it's good idea to see what level > > of diabetics disorder and in how many years one get to such level. > > > > > >> >> > > > > > >> >> Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication...of > > course my GLUCF was always marginally high but I was not taking > > Metformin...and I suspect Metformin reduced my appetite considerably > > because I am finding myself unable to finish a half plate of food > > that until last year I could easily finish ! not bad... > > > > > >> >> > > > > > >> >> So basically I assume becoming diabetic is gradual and > > not as bad as HTN if it is taken care medically, i.e., not allowing > > glaucoma or cataract ...etc. > > > > > >> >> > > > > > >> >> Max. > > > > > >> >> > > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > just insisted she be > > > > > >> >> |on statins and I asked her if he did a family HX. He > > didn't but if he had he > > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > her Grandmother at > > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > one brother died of colon > > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > doesn't die from > > > > > >> >> |heart attack, it'll be listed as complications due to > > DM! I printed it and > > > > > >> >> |suggested she discuss it with him! > > > > > >> >> | > > > > > >> >> |.... > > > > > >> >> | > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 , You're right about agent orange. My husband is 5'8", 165 lb. maintains a diet that consists mostly of fresh fruits and vegetables (always has). He does have occasional sweets, occasional complex carbs, has eliminated 'white' from his diet and has no familial history yet he is Type II DM. Because he is nearing retirement, he scheduled an appointment at the VA clinic to get established. He collects 20% disability for wounds he received in Viet Nam and the benefits of being awarded a Purple Heart. During his initial interview while he was providing his history, he was given the paperwork required for DM secondary to agent orange exposure. The VA filed all the required paperwork and gave him forms to take home and fill out. When it passes through the system, he will be eligible for the benefits related to AOE. Barb RE: Re: Statins linked to > > diabetes> > > > > >> >>> > > > > >> >>> > > > > >> >> Hi ,> > > > > >> >>> > > > > >> >> I am not sure about the details on this research but I > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > in some 5 years and 126 is not so bad because with some Metformin it > > can be overcome and another 5 years to level that she might need > > insulin...something like this...so it's good idea to see what level > > of diabetics disorder and in how many years one get to such level.> > > > > >> >>> > > > > >> >> Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication...of > > course my GLUCF was always marginally high but I was not taking > > Metformin...and I suspect Metformin reduced my appetite considerably > > because I am finding myself unable to finish a half plate of food > > that until last year I could easily finish ! not bad...> > > > > >> >>> > > > > >> >> So basically I assume becoming diabetic is gradual and > > not as bad as HTN if it is taken care medically, i.e., not allowing > > glaucoma or cataract ...etc.> > > > > >> >>> > > > > >> >> Max.> > > > > >> >>> > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > just insisted she be> > > > > >> >> |on statins and I asked her if he did a family HX. He > > didn't but if he had he> > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > her Grandmother at> > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > one brother died of colon> > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > doesn't die from> > > > > >> >> |heart attack, it'll be listed as complications due to > > DM! I printed it and> > > > > >> >> |suggested she discuss it with him!> > > > > >> >> |> > > > > >> >> |....> > > > > >> >> |> > > > > >> >>> > > > > >> >>> > > > > >> >>> > > > > >> >>> > > > > >> >> > > > > >> >> > > > > >> >> > > > > >> >> > > > > >>> > > > > >> > > > > >> > > > > >> > > > > >> > > > >> > > >> > > >> > > >> > > >> > >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 I'm a couple of steps ahead of him, I have filed and been thru the " physical " portion, awaiting the decision. The physical was a joke, I meant with a PA who knew very little about T2DM. (In her defense she had been recently hired and had previously worked in rheumatology office.) She basically went thru my record looking for SX and dates, I told her approximtely where to look since I have all 996 pages at home and have reviewed them for PA. I also resubmitted a claim for PTSD which may have delayed my claim but I should be hearing soon. Has he signed up for the Agent Orange registery exam? If not, he may want to investigate it. (It's not required but I decided with all that is going on with me they should see if anything else is related!) BTW, It happens next month but took me over a year to get it scheduled! If he is just getting started I suggest he makes sure he signs up for MyhealthEvet. Among other things he can see all his labs online 1week after they are done. I also recommend he request all his doctor's notes and keep track of them. If I had known that I would known I had a tumor in my right adrenal gland in 2005! I would have known that Quest Labs suggested that " hyperaldosteronism is possible " on 2/22/2007! Instead I was on up to 7 BP meds and a K supplement until June 2010 when a temporary doctor came in and put it all together! (Maybe a reason I sometimes get hostile but I never have been very tolerant of incomptence!) Let us know if we can help. Francis Bill knows where and how to find most information online. Good Luck! - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate 10mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > > > > >> > > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> >Using HTN medication also is causing diabetes and I had > > > to start Metformin after about 10 years on HTN medication > > > > > > >> >> > > > > > > >> >> Did you see any studies on that or it's just your > > > experience and intuition, Max? > > > > > > >> >> > > > > > > >> >> I am very curious because I always suspected that the > > > large dosage different HTN medications caused my diabetes. I like > > > you started Metformin about 10 years being on HTN medications. No > > > family history of diabetes, and I even didn't have marginally > > > numbers. My experience with Metformin is different. Even if I take > > > 2000 mg, my appetite is the same :-) > > > > > > >> >> > > > > > > >> >> Natalia > > > > > > >> >> From: StudyCircle <studycircle@> > > > > > > >> >> To: hyperaldosteronism <mailto:hyperaldosteronism%40> > > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > > >> >> Subject: RE: Re: Statins linked to > > > diabetes > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> Hi , > > > > > > >> >> > > > > > > >> >> I am not sure about the details on this research but I > > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > > in some 5 years and 126 is not so bad because with some Metformin it > > > can be overcome and another 5 years to level that she might need > > > insulin...something like this...so it's good idea to see what level > > > of diabetics disorder and in how many years one get to such level. > > > > > > >> >> > > > > > > >> >> Using HTN medication also is causing diabetes and I had > > > to start Metformin after about 10 years on HTN medication...of > > > course my GLUCF was always marginally high but I was not taking > > > Metformin...and I suspect Metformin reduced my appetite considerably > > > because I am finding myself unable to finish a half plate of food > > > that until last year I could easily finish ! not bad... > > > > > > >> >> > > > > > > >> >> So basically I assume becoming diabetic is gradual and > > > not as bad as HTN if it is taken care medically, i.e., not allowing > > > glaucoma or cataract ...etc. > > > > > > >> >> > > > > > > >> >> Max. > > > > > > >> >> > > > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > > just insisted she be > > > > > > >> >> |on statins and I asked her if he did a family HX. He > > > didn't but if he had he > > > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > > her Grandmother at > > > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > > one brother died of colon > > > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > > doesn't die from > > > > > > >> >> |heart attack, it'll be listed as complications due to > > > DM! I printed it and > > > > > > >> >> |suggested she discuss it with him! > > > > > > >> >> | > > > > > > >> >> |.... > > > > > > >> >> | > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 Thanks for the heads up . We are just beginning our VA odyssey, so any ammo up front is certainly welcomed. We are in eastern Kentucky, so he is being seen at an unbelievable brand spankin' new VA hospital not far from our home (can't find the address right now and he's sleeping). The facility is topnotch and the exam the physician performed for neuropathies secondary to DM II was very in depth (like it was taught in med school). All the questions were the right ones. All the exams focused on past and present medical history. Regarding the registry, not sure. I will ask him tomorrow. How do you register and why is this necessary? As it stands, he is still working fulltime and insured through BC/BS. He will be 65 in 2 weeks but will continue to work until age 67. His current collection of docs seem to be competent enough but still drop the ball more than not. In Jan 2010, he was hospitalized for a lower GI bleed and abdominal pain ongoing for about 3 weeks. He was scoped and his sigmoid colon was edematous and partially ischemic. They managed him medically and he was discharged within a week. So what's the problem? Three weeks after his discharge, he received a call from the CDC asking him what precautions he was taking and how he was following up. He said, "For what"? They said, "Your salmonella". His stool sample came back positive while hospitalized, the result was called to the nurse by lab and she, apparently, got too busy and forgot to call the doc. The type of Salmonella that he had was Salmonella Typhi (the organism responsible for Typhoid Fever). Two hallmark symptoms: constipation (not diarrhea) and ischemic bowel. And, he was contaminating everything he came in contact with, including his poor roommate who was sharing a bathroom with Tom. The medical community is a joke... a cult that does what is required to not get caught while keeping the money pouring in. After 25 years in the system, I am a bit more than jaded, so I certainly feel for you and everyone here who has been pissed on by the healers. Again, thanks for the info . You're the best. Barb RE: Re: Statins linked to > > > diabetes> > > > > > >> >>> > > > > > >> >>> > > > > > >> >> Hi ,> > > > > > >> >>> > > > > > >> >> I am not sure about the details on this research but I > > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > > in some 5 years and 126 is not so bad because with some Metformin it > > > can be overcome and another 5 years to level that she might need > > > insulin...something like this...so it's good idea to see what level > > > of diabetics disorder and in how many years one get to such level.> > > > > > >> >>> > > > > > >> >> Using HTN medication also is causing diabetes and I had > > > to start Metformin after about 10 years on HTN medication...of > > > course my GLUCF was always marginally high but I was not taking > > > Metformin...and I suspect Metformin reduced my appetite considerably > > > because I am finding myself unable to finish a half plate of food > > > that until last year I could easily finish ! not bad...> > > > > > >> >>> > > > > > >> >> So basically I assume becoming diabetic is gradual and > > > not as bad as HTN if it is taken care medically, i.e., not allowing > > > glaucoma or cataract ...etc.> > > > > > >> >>> > > > > > >> >> Max.> > > > > > >> >>> > > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > > just insisted she be> > > > > > >> >> |on statins and I asked her if he did a family HX. He > > > didn't but if he had he> > > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > > her Grandmother at> > > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > > one brother died of colon> > > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > > doesn't die from> > > > > > >> >> |heart attack, it'll be listed as complications due to > > > DM! I printed it and> > > > > > >> >> |suggested she discuss it with him!> > > > > > >> >> |> > > > > > >> >> |....> > > > > > >> >> |> > > > > > >> >>> > > > > > >> >>> > > > > > >> >>> > > > > > >> >>> > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >>> > > > > > >> > > > > > >> > > > > > >> > > > > > >> > > > > >> > > > >> > > > >> > > > >> > > > >> > > >> > >> > >> > >> > >> > >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 I may have exaggerated a bit on the divisor. I forgot to add ;-)On Jan 31, 2012, at 3:46 PM, wrote: I agree with everything you say here except her weight. If she weighs 1/3 of me (97 lbs) and hrt BMI is just over 26 she better be one of the "Little People"! ;>) We decided she is slightly older than I (very slight!) The range you quote is exactly what my team wants to see. With the funeral and everything I have not had time to see when the range changed but I suspect it was soon after I was DXed, maybe 2 years or so. I remember discussing it with my PCP at that time. And there is a very good chance there is another reason I might be insulin resistant, it's called "Agent Orange Exposure"! - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate 10mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > > > >> > > > > > > >> >> > > > > > >> >> > > > > > >> >> >Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication > > > > > >> >> > > > > > >> >> Did you see any studies on that or it's just your > > experience and intuition, Max? > > > > > >> >> > > > > > >> >> I am very curious because I always suspected that the > > large dosage different HTN medications caused my diabetes. I like > > you started Metformin about 10 years being on HTN medications. No > > family history of diabetes, and I even didn't have marginally > > numbers. My experience with Metformin is different. Even if I take > > 2000 mg, my appetite is the same :-) > > > > > >> >> > > > > > >> >> Natalia > > > > > >> >> From: StudyCircle <studycircle@> > > > > > >> >> hyperaldosteronism > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > >> >> Subject: RE: Re: Statins linked to > > diabetes > > > > > >> >> > > > > > >> >> > > > > > >> >> Hi , > > > > > >> >> > > > > > >> >> I am not sure about the details on this research but I > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > in some 5 years and 126 is not so bad because with some Metformin it > > can be overcome and another 5 years to level that she might need > > insulin...something like this...so it's good idea to see what level > > of diabetics disorder and in how many years one get to such level. > > > > > >> >> > > > > > >> >> Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication...of > > course my GLUCF was always marginally high but I was not taking > > Metformin...and I suspect Metformin reduced my appetite considerably > > because I am finding myself unable to finish a half plate of food > > that until last year I could easily finish ! not bad... > > > > > >> >> > > > > > >> >> So basically I assume becoming diabetic is gradual and > > not as bad as HTN if it is taken care medically, i.e., not allowing > > glaucoma or cataract ...etc. > > > > > >> >> > > > > > >> >> Max. > > > > > >> >> > > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > just insisted she be > > > > > >> >> |on statins and I asked her if he did a family HX. He > > didn't but if he had he > > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > her Grandmother at > > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > one brother died of colon > > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > doesn't die from > > > > > >> >> |heart attack, it'll be listed as complications due to > > DM! I printed it and > > > > > >> >> |suggested she discuss it with him! > > > > > >> >> | > > > > > >> >> |.... > > > > > >> >> | > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2012 Report Share Posted January 31, 2012 , you are right. It's not 0.333, it's only 0.526 :-) Natalia Kamneva 67 :-) From: <jclark24p@...> hyperaldosteronism Sent: Tuesday, January 31, 2012 5:46 PM Subject: Re: Statins linked to diabetes I agree with everything you say here except her weight. If she weighs 1/3 of me (97 lbs) and hrt BMI is just over 26 she better be one of the "Little People"! ;>) We decided she is slightly older than I (very slight!) The range you quote is exactly what my team wants to see. With the funeral and everything I have not had time to see when the range changed but I suspect it was soon after I was DXed, maybe 2 years or so. I remember discussing it with my PCP at that time. And there is a very good chance there is another reason I might be insulin resistant, it's called "Agent Orange Exposure"! - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate 10mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > > > >> > > > > > > >> >> > > > > > >> >> > > > > > >> >> >Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication > > > > > >> >> > > > > > >> >> Did you see any studies on that or it's just your > > experience and intuition, Max? > > > > > >> >> > > > > > >> >> I am very curious because I always suspected that the > > large dosage different HTN medications caused my diabetes. I like > > you started Metformin about 10 years being on HTN medications. No > > family history of diabetes, and I even didn't have marginally > > numbers. My experience with Metformin is different. Even if I take > > 2000 mg, my appetite is the same :-) > > > > > >> >> > > > > > >> >> Natalia > > > > > >> >> From: StudyCircle <studycircle@> > > > > > >> >> hyperaldosteronism > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > >> >> Subject: RE: Re: Statins linked to > > diabetes > > > > > >> >> > > > > > >> >> > > > > > >> >> Hi , > > > > > >> >> > > > > > >> >> I am not sure about the details on this research but I > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > in some 5 years and 126 is not so bad because with some Metformin it > > can be overcome and another 5 years to level that she might need > > insulin...something like this...so it's good idea to see what level > > of diabetics disorder and in how many years one get to such level. > > > > > >> >> > > > > > >> >> Using HTN medication also is causing diabetes and I had > > to start Metformin after about 10 years on HTN medication...of > > course my GLUCF was always marginally high but I was not taking > > Metformin...and I suspect Metformin reduced my appetite considerably > > because I am finding myself unable to finish a half plate of food > > that until last year I could easily finish ! not bad... > > > > > >> >> > > > > > >> >> So basically I assume becoming diabetic is gradual and > > not as bad as HTN if it is taken care medically, i.e., not allowing > > glaucoma or cataract ...etc. > > > > > >> >> > > > > > >> >> Max. > > > > > >> >> > > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > just insisted she be > > > > > >> >> |on statins and I asked her if he did a family HX. He > > didn't but if he had he > > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > her Grandmother at > > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > one brother died of colon > > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > doesn't die from > > > > > >> >> |heart attack, it'll be listed as complications due to > > DM! I printed it and > > > > > >> >> |suggested she discuss it with him! > > > > > >> >> | > > > > > >> >> |.... > > > > > >> >> | > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> >> > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2012 Report Share Posted February 1, 2012 I'm a couple of steps ahead of him, I have filed and been thru the " physical " portion, awaiting the decision. The physical was a joke, I meant with a PA who knew very little about T2DM. (In her defense she had been recently hired and had previously worked in rheumatology office.) She basically went thru my record looking for SX and dates, I told her approximtely where to look since I have all 996 pages at home and have reviewed them for PA. I also resubmitted a claim for PTSD which may have delayed my claim but I should be hearing soon. Has he signed up for the Agent Orange registery exam? If not, he may want to investigate it. (It's not required but I decided with all that is going on with me they should see if anything else is related!) BTW, It happens next month but took me over a year to get it scheduled! If he is just getting started I suggest he makes sure he signs up for MyhealthEvet. Among other things he can see all his labs online 1week after they are done. I also recommend he request all his doctor's notes and keep track of them. If I had known that I would known I had a tumor in my right adrenal gland in 2005! I would have known that Quest Labs suggested that " hyperaldosteronism is possible " on 2/22/2007! Instead I was on up to 7 BP meds and a K supplement until June 2010 when a temporary doctor came in and put it all together! (Maybe a reason I sometimes get hostile but I never have been very tolerant of incomptence!) Let us know if we can help. Francis Bill knows where and how to find most information online. Good Luck! - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, AmlodipineBesylate 10mg, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > > > > >> > > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> >Using HTN medication also is causing diabetes and I had > > > to start Metformin after about 10 years on HTN medication > > > > > > >> >> > > > > > > >> >> Did you see any studies on that or it's just your > > > experience and intuition, Max? > > > > > > >> >> > > > > > > >> >> I am very curious because I always suspected that the > > > large dosage different HTN medications caused my diabetes. I like > > > you started Metformin about 10 years being on HTN medications. No > > > family history of diabetes, and I even didn't have marginally > > > numbers. My experience with Metformin is different. Even if I take > > > 2000 mg, my appetite is the same :-) > > > > > > >> >> > > > > > > >> >> Natalia > > > > > > >> >> From: StudyCircle <studycircle@> > > > > > > >> >> To: hyperaldosteronism <mailto:hyperaldosteronism%40> > > > > > > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > > > > > > >> >> Subject: RE: Re: Statins linked to > > > diabetes > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> Hi , > > > > > > >> >> > > > > > > >> >> I am not sure about the details on this research but I > > > suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 > > > mg/dL . Assuming that she starts statins now she perhaps get to 16 > > > in some 5 years and 126 is not so bad because with some Metformin it > > > can be overcome and another 5 years to level that she might need > > > insulin...something like this...so it's good idea to see what level > > > of diabetics disorder and in how many years one get to such level. > > > > > > >> >> > > > > > > >> >> Using HTN medication also is causing diabetes and I had > > > to start Metformin after about 10 years on HTN medication...of > > > course my GLUCF was always marginally high but I was not taking > > > Metformin...and I suspect Metformin reduced my appetite considerably > > > because I am finding myself unable to finish a half plate of food > > > that until last year I could easily finish ! not bad... > > > > > > >> >> > > > > > > >> >> So basically I assume becoming diabetic is gradual and > > > not as bad as HTN if it is taken care medically, i.e., not allowing > > > glaucoma or cataract ...etc. > > > > > > >> >> > > > > > > >> >> Max. > > > > > > >> >> > > > > > > >> >> |Thanks Max, a very timely message for my wife. Her Card > > > just insisted she be > > > > > > >> >> |on statins and I asked her if he did a family HX. He > > > didn't but if he had he > > > > > > >> >> |would have found her Dad died at 84, her Mom at 93 and > > > her Grandmother at > > > > > > >> >> |97. She is the youngest of 8 and 7 are still living, > > > one brother died of colon > > > > > > >> >> |cancer. Of course maybe he just wants to make sure she > > > doesn't die from > > > > > > >> >> |heart attack, it'll be listed as complications due to > > > DM! I printed it and > > > > > > >> >> |suggested she discuss it with him! > > > > > > >> >> | > > > > > > >> >> |.... > > > > > > >> >> | > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> > > > > > > >> >> > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2012 Report Share Posted February 7, 2012 see http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2291144/But this is old 2006.Think there are new Geriatric guidelines but cant find them right now.CE Grim MDOn Jan 24, 2012, at 5:45 PM, wrote: Natalia I again tried to find any indication of a HbA1C goal higher than 7.0, some use <7.0 and most use <6.5. I have also not seen anything talking about it being age dependent. I have searched Pubmed and the ADA site and find nothing so I again ask if anyone has info to substantiate it. With it being an average over approx. a 3month period my mathemit > >> > > >> >> > >> >> > >> >> >Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication > >> >> > >> >> Did you see any studies on that or it's just your experience and intuition, Max? > >> >> > >> >> I am very curious because I always suspected that the large dosage different HTN medications caused my diabetes. I like you started Metformin about 10 years being on HTN medications. No family history of diabetes, and I even didn't have marginally numbers. My experience with Metformin is different. Even if I take 2000 mg, my appetite is the same :-) > >> >> > >> >> Natalia > >> >> From: StudyCircle <studycircle@> > >> >> hyperaldosteronism > >> >> Sent: Tuesday, January 10, 2012 6:08 PM > >> >> Subject: RE: Re: Statins linked to diabetes > >> >> > >> >> > >> >> Hi , > >> >> > >> >> I am not sure about the details on this research but I suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 mg/dL . Assuming that she starts statins now she perhaps get to 16 in some 5 years and 126 is not so bad because with some Metformin it can be overcome and another 5 years to level that she might need insulin...something like this...so it's good idea to see what level of diabetics disorder and in how many years one get to such level. > >> >> > >> >> Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication...of course my GLUCF was always marginally high but I was not taking Metformin...and I suspect Metformin reduced my appetite considerably because I am finding myself unable to finish a half plate of food that until last year I could easily finish ! not bad... > >> >> > >> >> So basically I assume becoming diabetic is gradual and not as bad as HTN if it is taken care medically, i.e., not allowing glaucoma or cataract ...etc. > >> >> > >> >> Max. > >> >> > >> >> |Thanks Max, a very timely message for my wife. Her Card just insisted she be > >> >> |on statins and I asked her if he did a family HX. He didn't but if he had he > >> >> |would have found her Dad died at 84, her Mom at 93 and her Grandmother at > >> >> |97. She is the youngest of 8 and 7 are still living, one brother died of colon > >> >> |cancer. Of course maybe he just wants to make sure she doesn't die from > >> >> |heart attack, it'll be listed as complications due to DM! I printed it and > >> >> |suggested she discuss it with him! > >> >> | > >> >> |.... > >> >> | > >> >> > >> >> > >> >> > >> >> > >> > > >> > > >> > > >> > > >> > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2012 Report Share Posted February 7, 2012 But the DM may well be due to the PA.Read Dr. Conn's old article in the NEJM about DM and PA.CE Grim MDOn Jan 24, 2012, at 4:19 PM, Natalia Kamneva wrote: You convinced me, Dr. Grim. I am decreasing metformin to 1500 mg a day and we will see. I am sure no doctors will approve that. Not even worth to ask them. they already told me, that DM and PA are two independent deceases. Natalia From: Clarence Grim <lowerbp2@...> hyperaldosteronism Sent: Monday, January 23, 2012 3:34 PM Subject: Re: Re: Statins linked to diabetes Ah but they must not be aware of the recent reports of increased risk of heart attack and stroke when too strick control is pushed.I would be happy at her age with a value of <7.0The issue is what would it be if she DASHed and stopped metformin but that is for her and her Dr. to work out. Over 80 the goal is even higher. Say up to 8.Clarence E. Grim, BS, MS, MD Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today.On Jan 23, 2012, at 02:33 PM, Natalia Kamneva <natalia_kamneva@...> wrote: I agree. Natalia From: <jclark24p@...> hyperaldosteronism Sent: Monday, January 16, 2012 7:35 PM Subject: Re: Statins linked to diabetes I am surprised with this recommendation. With HbA1C=6.4 and on 2000mg of Metformin my doctor would not consider DM cured! She looks for it to be between 6.0 and 6.5. Natalia reported 3 readings last year so she has just recently got down to the high end of acceptable! HEMOGLOBIN A1C 6.8% 6.4% 6.4% REFERENCE RANGE 0.0-5.6 0.0-5.6 0.0-5.6 - 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59 BS 125. D/C Spironolactone 12/20/2011 due to adverse SX. Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS. > > > >> > >> > >> >Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication > >> > >> Did you see any studies on that or it's just your experience and intuition, Max? > >> > >> I am very curious because I always suspected that the large dosage different HTN medications caused my diabetes. I like you started Metformin about 10 years being on HTN medications. No family history of diabetes, and I even didn't have marginally numbers. My experience with Metformin is different. Even if I take 2000 mg, my appetite is the same :-) > >> > >> Natalia > >> From: StudyCircle <studycircle@...> > >> hyperaldosteronism > >> Sent: Tuesday, January 10, 2012 6:08 PM > >> Subject: RE: Re: Statins linked to diabetes > >> > >> > >> Hi , > >> > >> I am not sure about the details on this research but I suspect definition of diabetic these days is GLUCF>7.0 mmol/L = 126 mg/dL . Assuming that she starts statins now she perhaps get to 16 in some 5 years and 126 is not so bad because with some Metformin it can be overcome and another 5 years to level that she might need insulin...something like this...so it's good idea to see what level of diabetics disorder and in how many years one get to such level. > >> > >> Using HTN medication also is causing diabetes and I had to start Metformin after about 10 years on HTN medication...of course my GLUCF was always marginally high but I was not taking Metformin...and I suspect Metformin reduced my appetite considerably because I am finding myself unable to finish a half plate of food that until last year I could easily finish ! not bad... > >> > >> So basically I assume becoming diabetic is gradual and not as bad as HTN if it is taken care medically, i.e., not allowing glaucoma or cataract ...etc. > >> > >> Max. > >> > >> |Thanks Max, a very timely message for my wife. Her Card just insisted she be > >> |on statins and I asked her if he did a family HX. He didn't but if he had he > >> |would have found her Dad died at 84, her Mom at 93 and her Grandmother at > >> |97. She is the youngest of 8 and 7 are still living, one brother died of colon > >> |cancer. Of course maybe he just wants to make sure she doesn't die from > >> |heart attack, it'll be listed as complications due to DM! I printed it and > >> |suggested she discuss it with him! > >> | > >> |.... > >> | > >> > >> > >> > >> > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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