MikeO

yes the 15/15 rule 15 carbs (simple sugar) and wait 15 minutes. then back up with a few carbs (i do 8g with a protein) so for me this will keep my blood sugar even an stable and i will not end up with a overcorrection. Of course you could just eat a meal as well. I will have to look for the sweet potato chips i like trying new foods. I just bought some cauliflower crackers, has a bit of a funky taste to them.

This is the most important can't count the number of times i have had to sit down right where i am standing even at the grocery store (sit on the floor and pretend i am looking at stuff of the bottom of the rack) @Pistolknows this one. Like you i am not exactly sure why i get stuck in a rut at times but i found that taking a bolus of fluids does help and to keep moving and not stand in one place too long and not use the recliner helps. my goto to correct low blood sugar is plain sugar water (4 cubes) and then back it up with some saltines and a little cheese or sausage. Have you had a tilt table test yet?

Hi Salt Sunflower, So just like you describe i get seasonal flares in these time frames. the itchy eyes and a super runny nose with some sneezing almost always happens but i would also get GI flare ups. This spring i did get into a gasto and they found i have some notable inflammation in my GI tract and are treating it with pantoprazole which i believe acts just like a OTC H2 blocker but is just stronger? IDK both meds blocks the production of stomach acid. Well anyways so far i have not had my spring flare up since starting treatment. Have you seen a Gastro for your GI?

Not sure what is up but my email updates from stat went dead. to be honest i do not have faith in the product as to helping.

following!

I don't have POTS but the seasonal allergy will provoke symptoms. Like you the fall and spring time is consistent times i need to be aware. I do become vasodilated during these times so i have assumed it is from producing a lot histamine. blowing my nose can cause me to pass out or go pre-sync. i have incorporated short runs of taking a antihistamine and seems to help. Good job on identifying your triggers and coming up with a plan to deal with them!

yes being fasted before the tilt table test is routine.

I was going to say contacting patient relations but on facebook i see this all the time with Mayo and personally ran into the same scenario at UW madison.

Happy to hear all is going well @MaineDoug. I see better days in your future.

Agree.....I can tell first hand that not eating is bad. Once i figured that food is a stressor and sorted out it all out GI/Endo wise i am in a better place for sure.

Some foods do trigger GI symptoms for me so yes bloating and bad heartburn and (profuse sweating) but no pain. The abdominal pain attacks have been on a empty stomach so far and are very disabling (thinking i am having a heart attack painful) At the store i had not eaten yet for the day. I had a bad (sweat episode) at the Atlanta airport. eaten some pot stickers and started sweating to the point of being soaking wet. worst part i had no place to really go and ride it out so found a air conditioner duct and stood there until i dried off. was a bit embarrassing

When i complained about this to my last PCP she just said it was male menopause (ok) been in menopause for a decade now Lol. I get flashes or very warm in the most inconvenient places. just happened at the grocery store while standing in line wasn't sure if i was going to start sweating and have to go run off outside for a bit.

My care team did discuss strategies. For now we will tow the line as lows (more so) are just as much a concern as the highs. So we did talk about bolus techniques and will try to see if i get improvements. The insulin pumps do use the fast acting insulin which is not all that fast acting IMO. Not sure how predictive the pumps really are when it comes to BG spikes but sure they do work.

I did question if diabetes was the cause of my issues or if a ANS problem is the root of the blood sugar highs/lows. as far as i know i have been dealing with this for years from a viral infection? I do get the temp dysregulation as well. bitched about it for years.

Doubt any testing would help. tilt table been there 3 times. qsart test (sweat test) what does this tell you? we already suspect what the issue is. here is a link to autonomic neuropathy. https://www.mayoclinic.org/diseases-conditions/autonomic-neuropathy/symptoms-causes/syc-20369829