Re: [GIWorld-Hepatitis] Digest Number 392
- Dear Dawn:
There are several different things from having hyperglycemia, aka
"high blood sugar". Depending on age, health, etc., there are various
symptoms. Diabetes, in a quick summary, occurs when the body can not
properly use, or store, sugar(s) broken down for use as energy.
Normally, if these sugars are not used, they are supposed to be stored
in the muscles for later use, or broken down into other components that
are eventually excreted in another form.
The pancreas produces insulin that helps the body break down the
sugar into useable forms to be stored or excreted. When there is not
enough insulin, for many reasons, the sugar(s) may float freely in the
blood stream and that causes problems in the long term. With the various
oral agents, and insulins, what used to be a hard problem is now easier
to stabilize when someone complies with diet, exercise, and medication,
and few suffer some of the severe problems caused by constant excess
Some of the symptoms seen in someone who is hyperglycemic, are
frequent urination, excessive thirst, slow healing wounds, decrease in
sensation on the feet or hands, vision changes. The tests that are used
to reach or refute a diagnosis of diabetes are checking the blood level
while fasting, checking a level called the HemA1C level, seeing if sugar
is in the urine, among others.
In people under treatment for HCV, I have seen many develop
"borderline diabetes", which may last for the period of treatment,
and/or, get worse and they are considered diabetics, or, resolve back to
normal. Unlike diabetes that develops because of genetics, or similar
traits, HCV therapy may affect the thyroid gland, which controls parts
of digestion and metabolism, and cause a temporary inability to properly
break down and use sugars. Many times, certain side effects of HCV
treatment, and no appetite, or trying to make up with various
supplements, can cause diabetes on a temporary basis.
I hope this helps. Marty