This contains a series of frequent questions that have been asked by patients and I hope will answer questions and empower you to work with your doctor to manage diabetes better

Type 2 Diabetes

  • Patient T2
  • Patient Diet
  • Patient General
Expand All | Collapse All
  • 1. I have just had a meal my reading is high what should i do?
     

    It is not recommended that you test till 2 hours have passed after the meal. It is possible that your sugars have climbed after the meal particularly if you have had a High GI meal.

    How do you feel?

    1. Unwell - call 111.. or 999 if you have any chest pain or othere severe symptoms
    2. Well ---Well perhaps a bit drowsy and thirsty. just drink water and wait for your sugars to come down.

    Test again at 2 hours and if it is still high

    1. Type 1 diabetes - you may need an extra "correction dose of insulin, check ketones, follow sick day rules contact diabetes team if required
    2. Type 2 diabetes - It is likely that your sugars will come down in time as long as you have taken your medications ensure you have plenty of fluids.  Contact your nurse for advice and reflect on the cause of high reading
    Was this answer helpful ? Yes / No
    Viewed 345 Times
  • 2. I feel sweaty and my blood sugar is 3.2 What should I do?
     

    You are having a hypo

    If it is a third person check if they are conscious and able to swallow.

    IMMEDIATE ACTION

    3 Jelly beans, Orange juice with a straw or glucose tablets or a cold drink  with 3 spoons of sugar

    FOLLOW UP

    • If person is able to swallow, then follow up with 2 biscuits or a sandwich
    • Check blood sugar in 15 minutes and repeat till sugar is more than 5 mmol/l
    • Driving is allowed only after 45 minutes

    Reflect on the cause of hypo - unexpected exercise, reduced carbohydrate in meal, accidental extra tablet or insuiln

    Was this answer helpful ? Yes / No
    Viewed 205 Times
  • 3. Should I be on a different drug for my diabetes? are these symptoms related to my meds?
     

    That is a good question which you need to consider and discuss.

    There are newer medications with less side effects (eg hypos), and increased beneficial effects

    What are your current problems with your current medications?

    • Weight gain
    • Hypos
    • I forget the evening dose of meds
    • I don't like injections
    • I feel tired
    • I feel like acidity in the stomach
    • I have the runs
    • I pass water several times at night

    All these can be solved but these may have different solutions and a tailor-made approach is essential. Please consider if these symptoms are related to the start of your medications and trial without the offending medication may well prove you right.

     

     

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    Viewed 190 Times
  • 4. I test so many times I am like a pin-cushion
     

    Well there are alternatives that are possible.

    a) Do you need to test so frequently?

    b) What do you do with the test result? - if it just provides reassurance and the past week has shown a similar pattern, can you omit that test ( Type 2 diabetes only)

    c) Can you afford to pay for the Continuous glucose sensor? £100 per month)- Check Freestyle Libre

     

     

     

    Was this answer helpful ? Yes / No
    Viewed 222 Times
  • 5. I find my blood sugars higher in the morning although I have not eaten
     

    This is quite a common finding and is due to the fat that in the morning, your stress hormones are very high. They rise at 4 AM ( well before you wake ) and start releasing glucose from your liver in preparation for the day.

    Was this answer helpful ? Yes / No
    Viewed 214 Times
  • 6. How much exercise should I do?
     

    It depends on your goals. To keep healthy, you need to exercise at least 40 minutes 3 times per week. However if you are using exercise to manage your diabetes, my recommendation is you need to exercise

    • Daily
    • 1 hour of walking
    • Covering 3 miles

    You need to discuss with your doctor your physical fitness, your associated medical conditions and ability to exercise. This will expend 240 calories ( 3 slices of bread).

    Was this answer helpful ? Yes / No
    Viewed 238 Times
  • 7. What is the best time for exercise?
     

    It really does not matter. If you are a morning person, you could exercise from 7 - 8 AM. alternatively evening time after your evening meal. If you are on medications that can reduce your blood sugar, make sure that you check your blood sugar and adjust your eating and medication. Please contact your doctor.

    Was this answer helpful ? Yes / No
    Viewed 256 Times
  • 8. I have heard that gooseberries are good for diabetes
     

    I am not sure about gooseberries.. They re full of vitamin C. It must be remembered that many medications are derivatives of plants or animal products. Hence, it is possible that many natural products can lower blood sugars.

    It is possible that it could be due to

    1. appetite suppression
    2. Using the product to supplement or reduce the size of meal
    3.  It might have a direct effect on lowering sugars

    I neither endorse it or condone it. I simply do not know enough to advise you. If it works for you, it works..

     

     

     

    Was this answer helpful ? Yes / No
    Viewed 294 Times
  • 9. How much carbs can I have?
     

    Carbs or Carbohydrates are complex sugars that are present in everyday foods. Carbohydrates are broken down to glucose and directly increase blood sugars.

    You must "earn your Carbs".. If you are physically very active, then you need more carbs. If you are more sendentary, then you need less carbohydrates

    You must have a sense of balance about intake versus expenditure

    1 slice of bread = 20 grams carbs = 1 mile walking

    1 jacket potato = 60 grams carbs = 3 miles walking

    Your body requires about 70 grams of carbs for basal functioning. (Breathing, working of heart muscle, working of intestines and brain funtion)  Anything more has to be "Earned".

    Was this answer helpful ? Yes / No
    Viewed 256 Times
  • 10. I don't feel hungry in the morning.. Should I eat breakfast
     

    It is sensible to have breakfast in the morning even if you don't feel hungry. This is for the following reasons

    1. Eating hits your reward centre and reduces stress hormones
    2. If there is no morning meal, then your stress hormones start to break down proteins for energy (Gluconeogenesis)
    3. Your body goes into starvation mode and is less willing to expend energy in the afternoon/ evening
    4. you wont feel soory for yourself by evening
    5. Your frontal cortex will be activated and you will have better "impulse control" - (Free chocolates in the office!!)
    Was this answer helpful ? Yes / No
    Viewed 200 Times
  • 11. I am so tired, I am sure it is a hormone problem
     

    This is a condition with so many causes that your doctor will need to do a thorough search.

    I will only list a few causes

    • High Blood sugars particularly after carb rich meals
    • High blood sugars most of the time
    • Abnormal Thyroid function
    • Poor sleep/ Poor REM Sleep
    • Obstructive sleep apnoea
    • Waking up several times to pass urine
    • Waking up due to hot flushes
    • Stress and inability to switch off
    • Low testosterone levels
    • Low physical stamina ( Lack of exercise)
    • Anxiety
    • side effects of medications
    Was this answer helpful ? Yes / No
    Viewed 250 Times
  • 12. I just cant lose weight. I don't eat more than previously
     

    This is quite a common problem. Many factors combine to cause this problem which often happens in middle age

    1. Our basal metabolic rate falls 10% every year ( 1500 cal per day when you are 20 to 1100 calories per day when you are 50).. That is like eating an extra burger every day
    2. Our hormones tend to fall with age ( Testosterone// oestrogen, Growth hormone) This reduces muscle mass)
    3. Work tends to take over more of our life and hence less lesiure
    4. More car journeys to save time
    5. Reduced sleep due to work pressure
    6. "finally children are out of the house" Can watch a movie
    7. Bladder is not a fantastic as before .. waking up at night
    8. Lower REM sleep and fewer dreams.

    "

    What your teenager can expend sitting on the couch twiddling his thumbs, you have to run at 5 km/hr to expend the same amount"

    Was this answer helpful ? Yes / No
    Viewed 215 Times
  • 13. I am so tired but I cant fall asleep. I toss and turn
     

    Sleep is the most important restorative function your body has. When you are ill, you sleep for yours to restore your body.

    It is important to understand why you cannot sleep

    a) Caffeine - This chemical lasts in your blood for up to 6 hours. so if your last cup of coffee is before bed, then you might sleep, but your sleep will be disturbed. You will feel less refreshed in the morning Stop all stimulants ( Diet coke, coke, pepsi, coffee, tea) at least 6 hours before sleep time.

    b) Nicotine - Cigarettes or tobacco tends to keep your brain awake and then you have another cigarette because you are stressed about not being able to sleep

    c) alcohol - Alcohol is a sedative but it tends to disrupt your sleep quality. Alcohol similar to sleeping pills put you into a drugged sleep. this interferes with your dream sleep ( REM) and can prevent memory formation and your ability to deal with stress the following day

    d) Computers Ipads etc. The blue light emitted by light emitting diodes (LED) is the strongest signal man has invented to mimic the sun . this activates your suprachiasmatic nucleus (SCN)( some nerve cells just above your nerves from the eye) and sends out the daytime hormones to keep you awake. It takes hours fr your SCN to switch off. This applies to the new energy saving bulbs (LED -Choose warm white colours)- Soft mood lighting may help

    e) Water/ fluids by your bedside.. your body takes 4 hours to get rid of water... with a weakening bladder as we age, it is likely that we will getup twice to pass urine. Stop drinking 4 hours before you slip .. minimise this to just moistening your mouth if you feel thirsty.

    f) Heavy meal before bed. A light meal is best for sleep. This will help you sleep better and you will feel hungry in the morning as your liver storage would have emptied out by morning.

    Was this answer helpful ? Yes / No
    Viewed 268 Times

Type 1 diabetes

  • Patient T1
  • Patient Diet
  • Patient General
  • Patient weight
Expand All | Collapse All
  • 1. I have just had a meal my reading is high what should i do?
     

    It is not recommended that you test till 2 hours have passed after the meal. It is possible that your sugars have climbed after the meal particularly if you have had a High GI meal.

    How do you feel?

    1. Unwell - call 111.. or 999 if you have any chest pain or othere severe symptoms
    2. Well ---Well perhaps a bit drowsy and thirsty. just drink water and wait for your sugars to come down.

    Test again at 2 hours and if it is still high

    1. Type 1 diabetes - you may need an extra "correction dose of insulin, check ketones, follow sick day rules contact diabetes team if required
    2. Type 2 diabetes - It is likely that your sugars will come down in time as long as you have taken your medications ensure you have plenty of fluids.  Contact your nurse for advice and reflect on the cause of high reading
    Was this answer helpful ? Yes / No
    Viewed 345 Times
  • 2. I feel sweaty and my blood sugar is 3.2 What should I do?
     

    You are having a hypo

    If it is a third person check if they are conscious and able to swallow.

    IMMEDIATE ACTION

    3 Jelly beans, Orange juice with a straw or glucose tablets or a cold drink  with 3 spoons of sugar

    FOLLOW UP

    • If person is able to swallow, then follow up with 2 biscuits or a sandwich
    • Check blood sugar in 15 minutes and repeat till sugar is more than 5 mmol/l
    • Driving is allowed only after 45 minutes

    Reflect on the cause of hypo - unexpected exercise, reduced carbohydrate in meal, accidental extra tablet or insuiln

    Was this answer helpful ? Yes / No
    Viewed 205 Times
  • 3. I test so many times I am like a pin-cushion
     

    Well there are alternatives that are possible.

    a) Do you need to test so frequently?

    b) What do you do with the test result? - if it just provides reassurance and the past week has shown a similar pattern, can you omit that test ( Type 2 diabetes only)

    c) Can you afford to pay for the Continuous glucose sensor? £100 per month)- Check Freestyle Libre

     

     

     

    Was this answer helpful ? Yes / No
    Viewed 222 Times
  • 4. I am feeling unwell What should I do?
     

    Please do contact your doctor if your symptom does not relate to diabetes or your trial. The teaam in the research centre deals with diabetes

    Was this answer helpful ? Yes / No
    Viewed 183 Times
  • 5. I find my blood sugars higher in the morning although I have not eaten
     

    This is quite a common finding and is due to the fat that in the morning, your stress hormones are very high. They rise at 4 AM ( well before you wake ) and start releasing glucose from your liver in preparation for the day.

    Was this answer helpful ? Yes / No
    Viewed 214 Times
  • 6. How much exercise should I do?
     

    It depends on your goals. To keep healthy, you need to exercise at least 40 minutes 3 times per week. However if you are using exercise to manage your diabetes, my recommendation is you need to exercise

    • Daily
    • 1 hour of walking
    • Covering 3 miles

    You need to discuss with your doctor your physical fitness, your associated medical conditions and ability to exercise. This will expend 240 calories ( 3 slices of bread).

    Was this answer helpful ? Yes / No
    Viewed 238 Times
  • 7. What is the best time for exercise?
     

    It really does not matter. If you are a morning person, you could exercise from 7 - 8 AM. alternatively evening time after your evening meal. If you are on medications that can reduce your blood sugar, make sure that you check your blood sugar and adjust your eating and medication. Please contact your doctor.

    Was this answer helpful ? Yes / No
    Viewed 256 Times
  • 8. I have heard that gooseberries are good for diabetes
     

    I am not sure about gooseberries.. They re full of vitamin C. It must be remembered that many medications are derivatives of plants or animal products. Hence, it is possible that many natural products can lower blood sugars.

    It is possible that it could be due to

    1. appetite suppression
    2. Using the product to supplement or reduce the size of meal
    3.  It might have a direct effect on lowering sugars

    I neither endorse it or condone it. I simply do not know enough to advise you. If it works for you, it works..

     

     

     

    Was this answer helpful ? Yes / No
    Viewed 294 Times
  • 9. How much carbs can I have?
     

    Carbs or Carbohydrates are complex sugars that are present in everyday foods. Carbohydrates are broken down to glucose and directly increase blood sugars.

    You must "earn your Carbs".. If you are physically very active, then you need more carbs. If you are more sendentary, then you need less carbohydrates

    You must have a sense of balance about intake versus expenditure

    1 slice of bread = 20 grams carbs = 1 mile walking

    1 jacket potato = 60 grams carbs = 3 miles walking

    Your body requires about 70 grams of carbs for basal functioning. (Breathing, working of heart muscle, working of intestines and brain funtion)  Anything more has to be "Earned".

    Was this answer helpful ? Yes / No
    Viewed 256 Times
  • 10. I don't feel hungry in the morning.. Should I eat breakfast
     

    It is sensible to have breakfast in the morning even if you don't feel hungry. This is for the following reasons

    1. Eating hits your reward centre and reduces stress hormones
    2. If there is no morning meal, then your stress hormones start to break down proteins for energy (Gluconeogenesis)
    3. Your body goes into starvation mode and is less willing to expend energy in the afternoon/ evening
    4. you wont feel soory for yourself by evening
    5. Your frontal cortex will be activated and you will have better "impulse control" - (Free chocolates in the office!!)
    Was this answer helpful ? Yes / No
    Viewed 200 Times
  • 11. I am so tired, I am sure it is a hormone problem
     

    This is a condition with so many causes that your doctor will need to do a thorough search.

    I will only list a few causes

    • High Blood sugars particularly after carb rich meals
    • High blood sugars most of the time
    • Abnormal Thyroid function
    • Poor sleep/ Poor REM Sleep
    • Obstructive sleep apnoea
    • Waking up several times to pass urine
    • Waking up due to hot flushes
    • Stress and inability to switch off
    • Low testosterone levels
    • Low physical stamina ( Lack of exercise)
    • Anxiety
    • side effects of medications
    Was this answer helpful ? Yes / No
    Viewed 250 Times
  • 12. I just cant lose weight. I don't eat more than previously
     

    This is quite a common problem. Many factors combine to cause this problem which often happens in middle age

    1. Our basal metabolic rate falls 10% every year ( 1500 cal per day when you are 20 to 1100 calories per day when you are 50).. That is like eating an extra burger every day
    2. Our hormones tend to fall with age ( Testosterone// oestrogen, Growth hormone) This reduces muscle mass)
    3. Work tends to take over more of our life and hence less lesiure
    4. More car journeys to save time
    5. Reduced sleep due to work pressure
    6. "finally children are out of the house" Can watch a movie
    7. Bladder is not a fantastic as before .. waking up at night
    8. Lower REM sleep and fewer dreams.

    "

    What your teenager can expend sitting on the couch twiddling his thumbs, you have to run at 5 km/hr to expend the same amount"

    Was this answer helpful ? Yes / No
    Viewed 215 Times
  • 13. I am so tired but I cant fall asleep. I toss and turn
     

    Sleep is the most important restorative function your body has. When you are ill, you sleep for yours to restore your body.

    It is important to understand why you cannot sleep

    a) Caffeine - This chemical lasts in your blood for up to 6 hours. so if your last cup of coffee is before bed, then you might sleep, but your sleep will be disturbed. You will feel less refreshed in the morning Stop all stimulants ( Diet coke, coke, pepsi, coffee, tea) at least 6 hours before sleep time.

    b) Nicotine - Cigarettes or tobacco tends to keep your brain awake and then you have another cigarette because you are stressed about not being able to sleep

    c) alcohol - Alcohol is a sedative but it tends to disrupt your sleep quality. Alcohol similar to sleeping pills put you into a drugged sleep. this interferes with your dream sleep ( REM) and can prevent memory formation and your ability to deal with stress the following day

    d) Computers Ipads etc. The blue light emitted by light emitting diodes (LED) is the strongest signal man has invented to mimic the sun . this activates your suprachiasmatic nucleus (SCN)( some nerve cells just above your nerves from the eye) and sends out the daytime hormones to keep you awake. It takes hours fr your SCN to switch off. This applies to the new energy saving bulbs (LED -Choose warm white colours)- Soft mood lighting may help

    e) Water/ fluids by your bedside.. your body takes 4 hours to get rid of water... with a weakening bladder as we age, it is likely that we will getup twice to pass urine. Stop drinking 4 hours before you slip .. minimise this to just moistening your mouth if you feel thirsty.

    f) Heavy meal before bed. A light meal is best for sleep. This will help you sleep better and you will feel hungry in the morning as your liver storage would have emptied out by morning.

    Was this answer helpful ? Yes / No
    Viewed 268 Times
  • 14. My friend eats more than I do but does not gain weight
     

    This is a common cause of frustration

    There re many reasons this happens

    1. Genetic causes ( People often resemble their genetic parents rather than adoptive parents in body shape and fat content).
    2. Better Satiety signals. Although, you have witnessed one meal, the person usually auto-regulates at next meal
    3. Activity levels - Often unnoticed activity ( Fidgets a lot, looks disorganized) is a way by which some people expend energy.
    4. Perception of types of food. Reduced signals to brain may allow consumption of higher calories ( "That is disgustingly sweet")

    A way to check is to actually weigh food that you eat and estimate the amount of calories consumed and expended- Carbs and Cals

    There are medical conditions also which might be responsible.

     

    Was this answer helpful ? Yes / No
    Viewed 295 Times
  • 15. Why do I feel tired all the Time?
     

    Fatigue is a common symptom and only occasionally has an hormonal cause. Hormones do then to vary through the day and in response to how you are..

    For example if you are stressed,

    • your stress hormones will be elevated ( to prepare your body),
    • your thyroid hormones will fall (to conserve resources to meet this threat)
    • Your adrenaline will be high ( fight or flight - increased blood pressure)
    • your testosterone levels will fall,( not the best time for procreation)
    • Menstrual cycles may become irregular ( egg will not be released)
    • Weight will increase ( Store rather then expend food)
    • Impulse control will fall ( Grab food when you can- don't know when the next meal is going to be)

    And you feel washed out! The same can happen with poor sleep.

     

    Was this answer helpful ? Yes / No
    Viewed 277 Times

Weight gain

  • Patient weight
Expand All | Collapse All
  • 1. I am so tired, I am sure it is a hormone problem
     

    This is a condition with so many causes that your doctor will need to do a thorough search.

    I will only list a few causes

    • High Blood sugars particularly after carb rich meals
    • High blood sugars most of the time
    • Abnormal Thyroid function
    • Poor sleep/ Poor REM Sleep
    • Obstructive sleep apnoea
    • Waking up several times to pass urine
    • Waking up due to hot flushes
    • Stress and inability to switch off
    • Low testosterone levels
    • Low physical stamina ( Lack of exercise)
    • Anxiety
    • side effects of medications
    Was this answer helpful ? Yes / No
    Viewed 250 Times
  • 2. My friend eats more than I do but does not gain weight
     

    This is a common cause of frustration

    There re many reasons this happens

    1. Genetic causes ( People often resemble their genetic parents rather than adoptive parents in body shape and fat content).
    2. Better Satiety signals. Although, you have witnessed one meal, the person usually auto-regulates at next meal
    3. Activity levels - Often unnoticed activity ( Fidgets a lot, looks disorganized) is a way by which some people expend energy.
    4. Perception of types of food. Reduced signals to brain may allow consumption of higher calories ( "That is disgustingly sweet")

    A way to check is to actually weigh food that you eat and estimate the amount of calories consumed and expended- Carbs and Cals

    There are medical conditions also which might be responsible.

     

    Was this answer helpful ? Yes / No
    Viewed 295 Times
  • 3. Why do I feel tired all the Time?
     

    Fatigue is a common symptom and only occasionally has an hormonal cause. Hormones do then to vary through the day and in response to how you are..

    For example if you are stressed,

    • your stress hormones will be elevated ( to prepare your body),
    • your thyroid hormones will fall (to conserve resources to meet this threat)
    • Your adrenaline will be high ( fight or flight - increased blood pressure)
    • your testosterone levels will fall,( not the best time for procreation)
    • Menstrual cycles may become irregular ( egg will not be released)
    • Weight will increase ( Store rather then expend food)
    • Impulse control will fall ( Grab food when you can- don't know when the next meal is going to be)

    And you feel washed out! The same can happen with poor sleep.

     

    Was this answer helpful ? Yes / No
    Viewed 277 Times

Hormones

  • Hormones
Expand All | Collapse All
  • 1. Why do I feel tired all the Time?
     

    Fatigue is a common symptom and only occasionally has an hormonal cause. Hormones do then to vary through the day and in response to how you are..

    For example if you are stressed,

    • your stress hormones will be elevated ( to prepare your body),
    • your thyroid hormones will fall (to conserve resources to meet this threat)
    • Your adrenaline will be high ( fight or flight - increased blood pressure)
    • your testosterone levels will fall,( not the best time for procreation)
    • Menstrual cycles may become irregular ( egg will not be released)
    • Weight will increase ( Store rather then expend food)
    • Impulse control will fall ( Grab food when you can- don't know when the next meal is going to be)

    And you feel washed out! The same can happen with poor sleep.

     

    Was this answer helpful ? Yes / No
    Viewed 277 Times
  • 2. What are the hormonal causes you should watch for?
     

    When you are referred, the hormones your doctor will check for are

    • your stress hormones(Cortisol -Do you have the correct levels?)
    • Your thyroid hormones
    • Your gonadal hormones

    However it is important to remember that hormone levels do change with age, time of day and your physical state.

     

    Was this answer helpful ? Yes / No
    Viewed 262 Times
  • 3. I have all the symptoms of an underactive thyroid
     

    The symptoms of an underactive thryoid overlap with a variety of symptoms found in non thyroid abnormalities.

    However it is important to look at your symptoms in detail and thy and explain your symptoms. Is it the thyroid or could there be other causes?

    It is also important to study your thyroid over time and establish how the thyroid responds. A single blood test taken on a busy stressed day may not give us the picture. Several blood tests are required.

    Further move your doctor will need to look at other hormones. Often abnormalities in one will signal changes in other hormones.

     

    Was this answer helpful ? Yes / No
    Viewed 243 Times

Thyroid

  • Patient Thyroid
  • Fatigue
Expand All | Collapse All
  • 1. I have all the symptoms of an underactive thyroid
     

    The symptoms of an underactive thryoid overlap with a variety of symptoms found in non thyroid abnormalities.

    However it is important to look at your symptoms in detail and thy and explain your symptoms. Is it the thyroid or could there be other causes?

    It is also important to study your thyroid over time and establish how the thyroid responds. A single blood test taken on a busy stressed day may not give us the picture. Several blood tests are required.

    Further move your doctor will need to look at other hormones. Often abnormalities in one will signal changes in other hormones.

     

    Was this answer helpful ? Yes / No
    Viewed 243 Times
  • 2. Do you prescribe T3 (Liothyronine)?
     

    Yes I do.. However this is only to a small proportion of people who do have low T3 levels or as a Trial to see if it works. T3 is an expensive medication and if your levels are low, you may be able to get it on the NHS. However if your levels are normal, you may need to purchase it and it may work out to about £40 per month.

    Was this answer helpful ? Yes / No
    Viewed 69 Times
  • 3. My thyroid keeps swelling up and then shrinks
     

    This is likely to be due to inflammation and blood flow. When the thyroid is angry (Inflammation), the blood flow increases and the gland swells. this is not any cause for concern. In due course, the thyroid will settle down to its normal size although in a small proportion it may still remain slightly more enlarged.

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    Viewed 89 Times
  • 4. What are the side effects of the medicaiton?
     

    Agranulocytosis (around 1 in 10,000)

    The most important side effect is agranulocytosis. This occurs when the white cell count in your blood falls, due to the effect of medication. This will reduce your ability to defend yourself against infection. If you have a SORE THROAT, MOUTH ULCERS OR PERSISTENT INFECTION, please approach your doctor for a blood count.

    Allergies ( Around 1 in 1000)

    Skin rash, peeling of the skin, blotchy red rash can all be due to the tablet. Rarely it can be more serious like steven- Johnson reaction

    Liver Function abnormalities

    Occasionally, your liver enzymes can be raised.

    Was this answer helpful ? Yes / No
    Viewed 80 Times
  • 5. Help.. I am pregnant...!!!
     

    Thyroid Hormone at the right level is crucial for the bay's development. If you are unexpectedly pregnant

    1. Contact your doctor and inform the same day. Contact your consultant and inform same day.
    2. Have a blood test done urgently for thyroid functions (in the same week)
    3. Do not stop your tablet unless told to do so.
    • If you have an underactive thyroid and you are on thyroxine, your dose of thyroxine may need to increase around 40% through pregnancy
    • If you have an overactive thyroid, your medication may need to be changed and your dose may need to be changed to ensure your hormone levels are optimal.
    Was this answer helpful ? Yes / No
    Viewed 69 Times
  • 6. Why do I feel tired all the Time?
     

    Fatigue is a common symptom and only occasionally has an hormonal cause. Hormones do then to vary through the day and in response to how you are..

    For example if you are stressed,

    • your stress hormones will be elevated ( to prepare your body),
    • your thyroid hormones will fall (to conserve resources to meet this threat)
    • Your adrenaline will be high ( fight or flight - increased blood pressure)
    • your testosterone levels will fall,( not the best time for procreation)
    • Menstrual cycles may become irregular ( egg will not be released)
    • Weight will increase ( Store rather then expend food)
    • Impulse control will fall ( Grab food when you can- don't know when the next meal is going to be)

    And you feel washed out! The same can happen with poor sleep.

     

    Was this answer helpful ? Yes / No
    Viewed 277 Times
  • 7. What are the hormonal causes you should watch for?
     

    When you are referred, the hormones your doctor will check for are

    • your stress hormones(Cortisol -Do you have the correct levels?)
    • Your thyroid hormones
    • Your gonadal hormones

    However it is important to remember that hormone levels do change with age, time of day and your physical state.

     

    Was this answer helpful ? Yes / No
    Viewed 262 Times
  • 8. I am so tired but I cant fall asleep. I toss and turn
     

    Sleep is the most important restorative function your body has. When you are ill, you sleep for yours to restore your body.

    It is important to understand why you cannot sleep

    a) Caffeine - This chemical lasts in your blood for up to 6 hours. so if your last cup of coffee is before bed, then you might sleep, but your sleep will be disturbed. You will feel less refreshed in the morning Stop all stimulants ( Diet coke, coke, pepsi, coffee, tea) at least 6 hours before sleep time.

    b) Nicotine - Cigarettes or tobacco tends to keep your brain awake and then you have another cigarette because you are stressed about not being able to sleep

    c) alcohol - Alcohol is a sedative but it tends to disrupt your sleep quality. Alcohol similar to sleeping pills put you into a drugged sleep. this interferes with your dream sleep ( REM) and can prevent memory formation and your ability to deal with stress the following day

    d) Computers Ipads etc. The blue light emitted by light emitting diodes (LED) is the strongest signal man has invented to mimic the sun . this activates your suprachiasmatic nucleus (SCN)( some nerve cells just above your nerves from the eye) and sends out the daytime hormones to keep you awake. It takes hours fr your SCN to switch off. This applies to the new energy saving bulbs (LED -Choose warm white colours)- Soft mood lighting may help

    e) Water/ fluids by your bedside.. your body takes 4 hours to get rid of water... with a weakening bladder as we age, it is likely that we will getup twice to pass urine. Stop drinking 4 hours before you slip .. minimise this to just moistening your mouth if you feel thirsty.

    f) Heavy meal before bed. A light meal is best for sleep. This will help you sleep better and you will feel hungry in the morning as your liver storage would have emptied out by morning.

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Fatigue

  • Fatigue
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  • 1. Why do I feel tired all the Time?
     

    Fatigue is a common symptom and only occasionally has an hormonal cause. Hormones do then to vary through the day and in response to how you are..

    For example if you are stressed,

    • your stress hormones will be elevated ( to prepare your body),
    • your thyroid hormones will fall (to conserve resources to meet this threat)
    • Your adrenaline will be high ( fight or flight - increased blood pressure)
    • your testosterone levels will fall,( not the best time for procreation)
    • Menstrual cycles may become irregular ( egg will not be released)
    • Weight will increase ( Store rather then expend food)
    • Impulse control will fall ( Grab food when you can- don't know when the next meal is going to be)

    And you feel washed out! The same can happen with poor sleep.

     

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  • 2. What are the hormonal causes you should watch for?
     

    When you are referred, the hormones your doctor will check for are

    • your stress hormones(Cortisol -Do you have the correct levels?)
    • Your thyroid hormones
    • Your gonadal hormones

    However it is important to remember that hormone levels do change with age, time of day and your physical state.

     

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  • 3. I have all the symptoms of an underactive thyroid
     

    The symptoms of an underactive thryoid overlap with a variety of symptoms found in non thyroid abnormalities.

    However it is important to look at your symptoms in detail and thy and explain your symptoms. Is it the thyroid or could there be other causes?

    It is also important to study your thyroid over time and establish how the thyroid responds. A single blood test taken on a busy stressed day may not give us the picture. Several blood tests are required.

    Further move your doctor will need to look at other hormones. Often abnormalities in one will signal changes in other hormones.

     

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  • 4. I am so tired but I cant fall asleep. I toss and turn
     

    Sleep is the most important restorative function your body has. When you are ill, you sleep for yours to restore your body.

    It is important to understand why you cannot sleep

    a) Caffeine - This chemical lasts in your blood for up to 6 hours. so if your last cup of coffee is before bed, then you might sleep, but your sleep will be disturbed. You will feel less refreshed in the morning Stop all stimulants ( Diet coke, coke, pepsi, coffee, tea) at least 6 hours before sleep time.

    b) Nicotine - Cigarettes or tobacco tends to keep your brain awake and then you have another cigarette because you are stressed about not being able to sleep

    c) alcohol - Alcohol is a sedative but it tends to disrupt your sleep quality. Alcohol similar to sleeping pills put you into a drugged sleep. this interferes with your dream sleep ( REM) and can prevent memory formation and your ability to deal with stress the following day

    d) Computers Ipads etc. The blue light emitted by light emitting diodes (LED) is the strongest signal man has invented to mimic the sun . this activates your suprachiasmatic nucleus (SCN)( some nerve cells just above your nerves from the eye) and sends out the daytime hormones to keep you awake. It takes hours fr your SCN to switch off. This applies to the new energy saving bulbs (LED -Choose warm white colours)- Soft mood lighting may help

    e) Water/ fluids by your bedside.. your body takes 4 hours to get rid of water... with a weakening bladder as we age, it is likely that we will getup twice to pass urine. Stop drinking 4 hours before you slip .. minimise this to just moistening your mouth if you feel thirsty.

    f) Heavy meal before bed. A light meal is best for sleep. This will help you sleep better and you will feel hungry in the morning as your liver storage would have emptied out by morning.

    Was this answer helpful ? Yes / No
    Viewed 268 Times