papertrees Posted August 18, 2008 Share Posted August 18, 2008 I've never been diabetic. Or even close to it. My blood sugar used to be a consistent 60. No it's shot up to 127! I'm taking abilify and invega, as well as topamax. which could be the culprit? I'm scared shitless of developing type 2 diabetes as my mom has it. Link to comment Share on other sites More sharing options...
Silver Posted August 18, 2008 Share Posted August 18, 2008 Well, of those three, the Invega's the most likely. Certainly not the Topamax. Was it a fasting glucose or a random glucose? Were your other labs fasting or random? 60's low-normal, so going up from there isn't totally a bad thing. One mildly elevated random reading: not cause for huge alarm quite yet. Link to comment Share on other sites More sharing options...
Velvet Elvis Posted August 18, 2008 Share Posted August 18, 2008 The invega would be my first guess since it's a metabolite of risperidone. It's supposed to have a greatly reduced side effect profile but that could be drug company marketing BS. If it's working for you you might want to consider treating the side effect rather than discontinuing the medication. The two APs you are on have the best side effect profiles of all the AAPs, at least on paper. Most of them have the potential to screw with glucose metabolism. You can counter this by cutting carbs, particularly starch and refined sugars out of your diet. I've heard of metformin, a diebeties medication also being used to counter it. All dugs have side effects. A whole lot of them suck ass. The question is if the side effects are worse than what you're taking the meds for in the first place. Which is easier to live with, diabetes or being batshit insane? I'd take the diabetes any day. Link to comment Share on other sites More sharing options...
papertrees Posted August 18, 2008 Author Share Posted August 18, 2008 It was a fasting glucose... The other random glucose testing I got was 147. I'm going to have to consult my doctor on this one. We have diabetes in the family and it scares me... Link to comment Share on other sites More sharing options...
Silver Posted August 18, 2008 Share Posted August 18, 2008 OK, that's a clearer picture. Thanks! Be respectful of it, especially with your family history. I'd definitely consult your doctor at the earliest possible convenience. On the other hand, you need to keep your brain clear as well as your glucose within range. On the third hand, insulin resistance secondary to AAPs can be moderated quite a bit with dietary changes towards low glycemic index foods, etc. Is there such a thing as a diabetes educator in your area? Those folks are incredibly helpful in helping moderate diet to wrangle AAP-associated changes in blood sugar, in my experience. Link to comment Share on other sites More sharing options...
papertrees Posted August 18, 2008 Author Share Posted August 18, 2008 I've never heard of a diabetes educator.. So, I guess not. I know how to modify my diet to combat high blood sugar, so I will. I did atkins 3 years back, for 2 years straight, so I know which foods to avoid. I think I'll start tomorrow. My pdoc says it might be the invega, but (strangely) that the abilify should equilibrate the effect, which i don't understand.. Link to comment Share on other sites More sharing options...
Rabbit37 Posted August 18, 2008 Share Posted August 18, 2008 I was reading up on abilify, since I jsut got moved to the highest dosage, and hyperglycemia was a potential s/e. Diabetes runs in my family too, I need to have my levels checked. Link to comment Share on other sites More sharing options...
papertrees Posted August 18, 2008 Author Share Posted August 18, 2008 Better check it. I was surprised when I checked mine yesterday and got the surprise of my life. Link to comment Share on other sites More sharing options...
CrazyBeautiful Posted August 18, 2008 Share Posted August 18, 2008 I used to work at an outpatient mental health clinic which had about 450 clients. I saw so much diabetes it was ridiculous. It is definitely a common side effect of atypical antipsychotics. However, I do think what everyone is saying here makes sense. Also you could always go see an endocrinologist to help you manage your risk. See what the psychiatrist and family doctor say. Most people don't do anything to try to minimize their risk of diabetes when on these meds. I'm willing to bet it would greatly help. Link to comment Share on other sites More sharing options...
papertrees Posted August 18, 2008 Author Share Posted August 18, 2008 Starting today, I'm going low carb again.. that shoul control it somewhat. It scared the hell out of me.. Really. I always used to have a normal, or even low blood sugar.. Link to comment Share on other sites More sharing options...
crazynotstupid Posted August 19, 2008 Share Posted August 19, 2008 I find blood sugar control ain't really much of an issue...if every thing else is in control. Take it from, shall we say, an expert. Zyprexa was the only thing that really screwed me up, though geodon wasn't long term and seroquel was only for sleep (and I bet that would've knocked me out of whack). A blood sugar of 60, quite frankly, I would consider low enough to suck down serious sugar, but if you were fine with it, whatever...127 would totally not scare me. It's within range. My brother got a 150 on my meter once, after a meal, so take that for what it's worth; they call it a "fasting" blood sugar for a reason. Personally I would take a wait-and-see approach before worrying. I was a clear cut case of type I diabetes and they took their time to dx me anyways, so don't sweat it--and don't do some stupid fad diet, just eat healthier. Link to comment Share on other sites More sharing options...
papertrees Posted August 19, 2008 Author Share Posted August 19, 2008 I got 147 the first time I was measured, and that was fasting..Okay, I'll talk to my pdoc about it when I see him on sunday.. Thanks for your advice. Link to comment Share on other sites More sharing options...
Silver Posted August 19, 2008 Share Posted August 19, 2008 Wait. Which is it? In one post, you describe your first glucose as random and 147, the second as fasting and 127. Now it's the other way around. It makes a difference. Link to comment Share on other sites More sharing options...
papertrees Posted August 21, 2008 Author Share Posted August 21, 2008 sorry. i confused myself. the corect one is that random is 147 and fasting is 127. im worried because in med school we are taught that your blood sugar shoudl never exceed 120, regardless of whether you just had a meal or not.. Link to comment Share on other sites More sharing options...
Silver Posted August 21, 2008 Share Posted August 21, 2008 Yes, but in med school they should also emphasize that one elevated reading does not constitute a formal diagnosis of T2DM. So I think your plan to be watchful and to followup with your FP is a fantastic one... but remember to breathe, OK? Link to comment Share on other sites More sharing options...
papertrees Posted August 21, 2008 Author Share Posted August 21, 2008 Hehehe. Yeah, thanks. I will. I guess I just panicked because my mom has it and my grandfather had it and it sort of runs in the family... thanks though. Link to comment Share on other sites More sharing options...
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