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Sheryl

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Posts posted by Sheryl

  1. 4 minutes ago, Confuscious said:

    A HYPO is a very frightening experience and the odds to go into a COMA makes it worse.

    I carry normal always some Fructose candy with me, but I forgot the Fructose in the car that day.

    Hypoglycemia severe enough to cause coma is not going to happen in someone not taking any sort of hypoglycemic drug unless there is a serious disease present (eg insulin-secreting tumor). But you can certainly get light-headed,  shaky etc. 

     

    In people on insulin, by contrast,  hypoglycemia is a serious and potentially life threatening risk. 

    • Thanks 1
  2. 2 minutes ago, newbee2022 said:

    Maybe in your area? Nowadays labs are working fully automatic, just to avoid misreadings or misinterpretation or other mistakes. But I admit mistakes could happen where human beings are at work.

    These automatic machines have to be properly maintained and regularly calibrated. A step ofen omitted. Reagent solutions/kits need to be properlly stored and not used beyond expiration (ditto).

     

    And samples have to be correctly  labelled and correct patient name entered. 

     

    Mixing up of patient results is something I have encountered several  times including at major, ISO certified hospitals. 

     

     

     

     

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  3. 2 minutes ago, newbee2022 said:

    Maybe in your area? Nowadays labs are working fully automatic, just to avoid misreadings or misinterpretation or other mistakes. But I admit mistakes could happen where human beings are at work.

    These automatic machines have to be properly maintained and regularly calibrated. A step ofen omitted. Reagent solutions/kits need to be properlly stored and not used beyond expiration (ditto).

     

    And samples have to be correctly  labelled and correct patient name entered. 

     

    Mixing up of patient results is something I have encountered several  times including at major, ISO certified hospitals. 

     

     

     

     

    • Agree 2
  4. 34 minutes ago, Eaglekott said:

    My suggestion would be to replace the Astorvastatin 20mg with Simvastatin 10 or 20 mg for some time and then check cholesterol levels again. You will save a lot of money changing to Simvastatin. I know many doctors and hospitals try to sell the most expensive tablets even if there is others that cost a fraction of the price.

    There are advantafes to atorvastatin over Simvastatin if he can afford it.

     

    If for cost reasons he has to switch the simvastatin equivalent to 20 mg tirvastatin would be 40 mg not 10 or 20. 

     

     

  5. 52 minutes ago, BigStar said:

     

    Not really.

     

     

    Big no-nos.

     

    Suggest you get the gold standard of glucose tests, the oral glucose tolerance test (OGTT) if possible. But you have at least pre-diabetes. Better start dieting like a diabetic. Seriously exercise as well.

     

    The Diabetes Code: Prevent and Reverse Type 2 Diabetes Naturally

    Current BS levels are well below 100 so not in pre-diabetic range now.  He was referring to levels in the past.

    • Like 1
  6. 9 hours ago, Confuscious said:

    Thanks for your suggestion.

    I will try to change my breakfast.

     

    But I still try to find out why I had the last 3 days such a low BS level?

    I didn't change my habits.

    Advancing age increases the likelihood of hypoglycemia.  So does kidney disease.

     

    Your habits may not change but your body does.

     

    I would also get hypoglycemic on your breakfast intake. Especially if taken with coffee or strong tea. 

     

    See how you do on a better breakfast. If that does not work then see an endocrinologist. 

     

  7. 3 hours ago, Lorry said:

    Atorvastatin to "treat" high cholesterol should only be given if you have a high risk of cardiovascular disease.  We don't know your other risk factors so we cannot comment. 

    No medication should be given to treat an isolated lab value

    Not an isolated value. 2 readings several months apart at a hospital lab.  With a normal reading in between after going on statin then going back up to prior level when statin discontinued.

     

    His cholesterol ratio is 5.02. 

     

    And there are indications of chronic kidney disease. Judging from both BUN and heat wave at the time, March value likely affected by dehydration but not the Dec reading.

     

    Most clinicians would recommend statin in this case especially since he tolerated it well and showed good result at low dose.

     

     

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  8. 28 minutes ago, Confuscious said:

     

    - Yes, Diabetes type 2.
    - No Insulin.
    _ Was on Linaglyptin, but the Kidney doctor ended the prescription of LinaGlyptin and ordered to control my BS levels by diet.
       Since then (about 2 years) my BS levels are between 110 to 125, which is very good.
       Occasionally I have higher BS readings (mostly after the weekend) but that it is due to the food at the bar which I visit on Friday/Saturday.
        Pizza, Hamburger + Chips, etc.
    - I take my BS levels every day in the morning BEFORE Breakfast/Drink.
       Today I had a reading of 80.
        Every 3 months, the hospital do a HbA1c test and the latest test on 31/01/24 was 6 (down from 7).
    - After the BS test and taking my medication, I had a small breakfast like every day (fruit + yoghurt).

    So you are on absolutely  no antiglycemic meds? No metformin, nothing? 

  9. 26 minutes ago, impulse said:

    I know I'll open myself up to some ridicule, but I'd point out that the symptoms you described happen to me with too much MSG.  Which is common in "less expensive" Thai eateries.

     

    too much MSG would not alter his blood sugar reading. Nor quickly respond to sugar intake.

     

    @Confuscious  are you:

     

    known to be diabetic?

    taking insulin or oral hypoglycemic drug?Type? Dose?

    was this blood sugar reading fasting? After it did you have a ful breakfast?

     

    without this info nothing cam be said about this.

     

     

     

     

    • Agree 2
  10. 24 minutes ago, Felt 35 said:

     

    Ok thanks, then I do as you recommend. Btw, do you know if mri.thailand  have CT scans as a service?

    Felt

    They do, but as previously explained, it is not safe to do with contrast outside of a hospital. A minority of people have serious reactions to the dye.

  11. 41 minutes ago, eisfeld said:

     I am not talking about the W-8 BEN form. That's standard and no big deal.

     

    W-8 BEN us for non US citizens. I don't see how that would come into it.

     

    At branch level, what is AFAIK required for a US citizens or resudents  to open an account is just standard form listing your SSN or TIN.

     

    Which in my experience Thai bank staff are often terrified of. I spent over an hour arguing with one who was convinced I had failed to fill it out correctly because I filled out the SSN section keaving TIN part blank. 

     

    AFAIK this is the only additional thing they are asked to collect at branch level.

     

     

    Other requirements for reporting come in at higher levels (and likely automated). 

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  12. 10 minutes ago, khunjeff said:

     

    Obviously the manager of an individual branch can make up whatever absurd rules he or she likes, but no, this is not an "all Thai banks" policy and is not even the rule of any Thai bank.

     

     

    What they don't understand is that they're stuck with the paperwork whether they like it or not. The Bank of Thailand signed an agreement with the US Treasury Department a number of years ago obliging all Thai banks to comply with FATCA, so no bank - and certainly no branch - can opt out of that, no matter what the manager wants; they must make every new customer fill out the US paperwork to determine whether they meet the definition of a "US person".

     

    They also misunderstand what's involved in having "US persons" as customers - the reporting is all done electronically at the HQ level, with essentially no work required by the branch.

    And the form is quite simple and very familiar to all Americans.

     

     

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