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Re: [IPk] a question and an update

At 26-02-00 00:52 +0100, you wrote:

> >> I'm asking for common experience and suggestions because my
> >> consultants always dismiss this experience.
> >
> >It is a common feeling -- my daughter gets it when she is high. It is
> >cause by increased pressure within the eye. I don't know the exact
> >mechanics, but it has to do with the presence of glucose in the fluid
> >which can apparently get inside OK, but then can not get out at the
> >same rate.
>Why are doctors - diabetes specialists who have made an academic speciality
>in the study of diabetes - unable to provide a simple explaination like
>Do they think we are too stupid or something?
>Diabetes is a complex, chronic and life-threatening illness. The ultimate
>course of the disease is strongly linked to how well we control it
>ourselves. We *need* this sort of info in order to understand our own
>bodies, and so take the best possible control of our diabetes.
>elizabeth - if a doctor ever accused me of being obsessive about my
>diabetes, I would ask them how much time they had spent in a terminal-care
>ward, watching people fall apart and die of diabetic complications, and
>whether they felt the established link between tight control and these
>complications was perhaps then just a piece of fiction...
I cannot agree that the statement re. 'funny feeling in the eyes' being 
common is at all true. It will no doubt be true for some and an indication 
of something, but the principle that glucose gets into the eyes and cannot 
get out cannot be an acceptable conclusion. When there is excess glucose in 
the blood, the whole blood flow is likely to slow due to the excess 
'stickyness' of the blood. This is what leads to most of the problems of 
diabetic complications, heart attacks, high blood pressure, retinopathy, 
neuropathy and so on, caused by restricted blood flow, due to what has 
stuck to the sides of the blood vessels. In the case of the eyes the damage 
ends up being caused by the body trying to get around the problem, by 
creating new blood vessels as bypasses. I have never heard or read of 
glucose getting into the eyes and not getting out, if that were the case 
the blood sugar of the remaining blood would be less, possibly leading to a 
hypo especially as the glucose is being removed from the blood in an area 
near to the brain.
People who are normally well controlled will feel affects, of some kind at 
a lower blood sugar level than those who do not normally keep good control. 
This is shown by the loss of  warnings of hypos at the other end of the 
scale. When my blood sugar goes high I feel effects but not in my eyes, in 
other areas. The only thing I suggest is that doctors should take careful 
note of what symptoms every patient has because these may well provide a 
signal as to what complications a person may be liable to be affected by in 
later life.
I would also think that if you are experiencing these feelings at a bg of 
only 12 it may be a sign that you are very well controlled and while 
unpleasant should perhaps regard them as warnings being sent out it might 
be the case that you should start worrying only when you stop getting these 
feelings or start getting them only when the bg is higher. I believe that 
such feelings are to be welcomed, in the same way as we don't like pain 
when we burn ourselves, if we did not feel it we would do much more damage 
to ourselves.
It might be worthwhile demanding that you want to see an opthamologist 
(?spelling), as this power is now with us due to new laws. You should be 
able to get one DECS appointment every year, the advance in these machines 
means that damage to the eyes can be picked up about ten years earlier than 
it could only 6 years ago.
Everything I have written may be complete rubbish and is simply based upon 
my own experiences over 40 years, so read as choose.
Best wishes,

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