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As NDD said previously, lots of trauma people on here...not too many medicine ones... I specialize in trauma.
As for your fiancee... this is a mixture of my words and a site online...
People who are pre-diabetic have become so deficient at dealing with carbohydrates (starches and sugars) that they get recurrent incidents of hyperglycemia (high blood sugar) or hypoglycemia (low blood sugar). They suffer fatigue, even after a long sleep, unexplainable hunger and thirst, weakness, tremor, nausea, headaches, giddiness, irritability or anxiety. They risk overt diabetes every day.
By careless nutrition and lifestyle habits, or simply lack of knowledge they are “training” themselves to become diabetic. The mechanisms that maintain their blood sugar at a stable level are being abused to the brink of disorder. They cannot go more than a few hours or so without feeling the need for a pick-me-up snack. Only about 5% of diabetes results from genetic defects, and viral infections. Over 90% of cases do it all to themselves with diet and such!
the best thing she can do is continue a balanced diet that avoids simple carbs... many nutritionalists will recommend a modified atkins kind of diet for patients who suffer from this type of hypoglycemia.
By all means, continue to have her worked up by a physician locally because there are many many causes of hypoglycemia including medications....
hope this helped.
doc t.
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