Forum for Addisons and diabetes related issues.


Postby purpburp » Mon Aug 13, 2007 12:22 pm

I have secondary addisons and type 1 diabetes. Is it normal to wake up with a headache, this is happening to me all too often, it feels like ive been drinking. I dont think im having hypos in the night cause i usually wake up if i do.
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Postby SueM » Mon Aug 13, 2007 12:55 pm

well your best bet is too set your alarm and do some night testing.
What are your blood sugars when you wake up?
Again I have to ask about your HC dose.
As a matter of interest what time and how much do you take when you take it?
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Postby purpburp » Mon Aug 13, 2007 1:14 pm

will try setting alarm, its just strange cause if i do have a hypo in the night, i dont usually wake with a headache. My sugars when i wake are usually between 6 and 8. My HC regime is as follows:
5mg 7 am
5mg 9 am with breakfast
5mg 1 pm with lunch
5mg 5pm with dinner

Can you shed any light on my pred vs HC topic. Sorry if i seem stupid its just im due to see my specialist on the 20th and want to be able to prompt them a bit.
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Postby SueM » Mon Aug 13, 2007 11:48 pm

Must admit that is the oddest dosing I have seen.
As your body needs most HC when you wake up why not have your breakfast at 7am with 15 hc? and try 10 HC at lunch time skip the evening dose and see how you go if you struggle in the evening have 5 at lunch and 5 at 5pm.
If you are getting up at 7 then not eating untill 9 then your bs will rise on their own as your liver will just dump glucose because your body wants feeding. As steroids raise bs why not adjust your insulin to acount for this?

You need to do a lot of home work and sort yourself out you have a double combination of problems bad control from your diabetes and not knowing what you are doing with your HC.
No I wont go into the dif of pred with you because diferent types of steroid will not fix your problems.
Once you have learnt to control your diabetes look again if you are still having problems.
This site with all the members will teach you how to manage your diabetes

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Postby KathyK » Mon Aug 20, 2007 8:28 am

Most of us Addisonians take our meds (HC, Pred, whatever) twice or three times a day as it's the easiest to remember & stick with.

You should definately be taking at least 10 mg. upon waking (although a strict 20 mg. a day is NOT enough for most of us) Primary Addisonians with no other "Inflammatory" problems (Arthritis, Asthma, Allergies, etc) can SOMETIMES make do on 20 mg. but most do 25 - 35 mg. Daily in divided doses.

Once again I suggest going to "Addison's Village" & reading lots of posts to see what I mean.

I've already gotten my Primary (GP) to prescribe "Extra" HC if my Endo won't for those times I need to "Bump Up", but you need to SERIOUSLY find another Endo if this one won't prescribe more than 20 mg daily, as unfortunately we are not all TEXTBOOK cases!!

I recently switched to Pred. for my Afternoon dose, as I still work & need the energy to get thru the rest of the day, so I talked my Endo into changing my afternoon dose from 10 mg HC to 2 - 2 1/2 mg. Pred. & it has done WONDERS for my energy & Stamina.

However, my Blood Sugars have been balanced for quite some time now. Hypos WILL take a lot out & you, and if you're on a low dose of HC to begin with, you're just LOOKING for trouble.

Experiment a little. Take at least 10 mg in the AM BEFORE Brkfst so food does not slow down absorption rate. If you've had ADdisons' for 8 years your stomach should be able to handle it.

You probably also need 10 mg at Lunch time - then on days when you need it keep taking the 5 mg at 5 pm if it helps you get thru the day. I do not take any after 3 pm because I go to bed by 10 pm always so I do not feel I need it after that it would simply keep me awake.
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Postby Wanda » Wed Sep 19, 2007 7:38 am

A headache in the morning for me means I am a bit dehydrated. It happens when I have been really busy & forgetting to get enough water in.
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Postby purpburp » Wed Sep 26, 2007 12:07 pm

Hi again,

went to the opticians, turns out i have to wear glasses, anyway since wearing them, the headaches have stopped, great! Now i just feel thick for not noticing that my eyesight was bad :lol:
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