I have a question and I am not quite sure where to put it. So here goes.
I am diabetic since 1989. Last year I was also diagnosed with CAD, unstable angina, and Coronary Artery Spasms. I am doing well controlling my blood sugar, eating a well balanced diabetic/heart healthy diet and exercising. I have lost 40 lbs since my heart disease diagnosis. But here is the question.
We are in the process of moving to a new house. I ate a basic breakfast this morning around 8:30 then got busy getting things ready to be moved. I honestly forgot to eat lunch til I noticed I was beginning to feel weak and trembling. Looking at the clock revealed the time of 3:30. I have been hypoglycemic more than a few times and I immediately recognized the symptoms. I went immediately to eat but the symptoms progressed rapidly and before I took the first bite I was nauseated and had the cold clammy sweats. My blood sugar was 61.
I started eating and after a few bites noticed a cramp like sensation in both lower jaws. I almost could not bite down. Then the pressure in my chest started and I felt like I was being crushed. My dear hubby was not here and I got scared but I quickly popped a nitro and within a minute or two the pressure was lessening. It took a good hour and a half before I felt back to normal though. And I finally had to lie down to get that result.
So, did the hypoglycemia cause this coronary artery spasm. Or maybe I was eating too fast trying to rid myself of that dreaded low blood sugar feeling and brought it on myself. I will definitely be talking to both my physician and my cardiologist but in the meantime a few suggestions on how to prevent this from happening again would be very comforting. It would be too ironic to think I just happened to have a hypoglycemic episode and a coronary artery spasm at the same time and they were not connected somehow. What are your thoughts?
Thanks in advance.
BTW.....I feel fine now.
i agree with siri. the jaw tightening and chest pressure could be symptoms of a cardiac situation. call your doctor now and tell him or whoever is taking his calls what you have experienced today along with a little history of your conditions. stop whatever activity you have been engaging in all day and sit down and rest right now. don't do anything more until you talk to or see a physician. (i say this because it is after office hours.) if these chest or jaw symptoms appear again get to a hospital er immediately.
i am also diabetic and start to experience symptoms of hypoglycemia when my blood sugar gets into the 65 - 70 range very much the way you do. even though i eat something immediately i find that it takes an hour or two before the symptoms resolve completely. i just feel crappy for that hour or two.
Last edit by Daytonite on Aug 22, '05
Aug 23, '05
by NRSKarenRN, BSN, RN Moderator
Quote from nurturing_angel
Ok, I have learned my lesson
Since you've had more than 1 hypoglycemic reaction, suggest you carry with you one of those small cake decorating gel containers. Can easily squirt it into your mouth at onset of symptoms while making a sandwich to prevent bottoming out and it's not something you'd want to eat every day. Has long shelf life too.
Learned that from the Pediatrician at summer camp I worked in ---helped a few patients.
:Melody: Case closed!
Last edit by NRSKarenRN on Aug 23, '05
Aug 24, '05
I see a few things you can look at, but most obvious is the fact that having been a diabetic for 15+ yrs, there is a good likelihood that you have some moderate CAD, maybe even severe enough that you need an intervention/surgery to treat the CAD. Having worked Cardiac for about 9 and a half years, I can tell you that often times when a patient is hypoglycemic, they do have increased numbers of PVC's, though I am not sure of the pathology of why this occurs, I would assume it is due to a changing metabolism as the bodies is deficient of sugar. But I would CAUTION against using the "Cake Decorator" sugar supply without following up with some complex carbohydrates!!! I learned this the hard way while still a student in nursing school. Feeling the low sugar come on, I did what I thought right, and drank a regular Coke. I was heading out to dinner with a friend and we stopped by the hosp. to see her mom, (yes she, myself and her mother, my wife, and a bunch of family and friends are all nurses) and I was still not "seeing right," shaky, sweaty, and not fully functional. So her mom checked my sugar and it was a 31!!!! I learned a few years later that the simples are great to treat initial hypoglycemia, but then you need to follow up with some protein and complex carb's too to prevent "REBOUND HYPOGLYCEMIA," which is probably what I did.
I am sure there are many "Subject Matter Experts" here on CAD, but I will lend my advice as needed if I can, feel free to PM me. However, I will be leaving thursday (Aug 25th at noon for a 12 day elk hunt in CO). If you Cardiologist hasn't done a stress test of heart cath by the time I am back, you should FIRE HIM(seriously, you should fire him if he hasn't at least scheduled one or the other), and find a real cardiologist!!!! Good Luck!!!
Last edit by SEOBowhntr on Aug 24, '05