My Very First Endocrinologist Visit

After my weirdly low blood sugar results in the 2 hour fasting glucose test, my doctor decided that I needed to talk to a specialist.

My endo gave me a tentative diagnosis of reactive hypoglycemia.  He’s running some blood tests to rule out anything else.  The good thing about this diagnosis is that it’s treated by … metformin.  I was GETTING the glucose test in the first place because after years of fighting it, I’d decided that it was time to give metformin a shot.  As soon as my results come back, I can start gradually working my way up to a 2g daily dosage, split between breakfast and dinner.

I’ve done some reading on reactive hypoglycemia now, of course.  The Wikipedia entry cites hereditary fructose intolerance as a possible cause.  I have several family members with varying levels of intolerance to fructose – my dad is so intolerant that my grandma couldn’t nurse him when he was a baby.  Based on this, the reactive hypoglycemia diagnosis seems pretty likely.

I also have a bump on my thyroid that they’re going to check out.  The doctor didn’t seem concerned about it, just said they needed to do an ultrasound to make sure everything is ok.

UD 2.0: The End

Defcon ruined my cut 🙂

I actually finished out 3 full weeks before I was no longer able to continue. I followed the diet reasonably strictly, my macros were either below or just above where they should be. I followed the workouts exactly.  I stopped because the gym at my hotel wasn’t open at hours that I could get to it – and neither was the pool.  The Gold’s on the strip had shut down, and I didn’t really know of any other good options.  I was also incredibly busy and never really had a couple of hours to spare.

After 3 weeks, I was down 1 pound.

Clearly, there’s something going on in my system that is off. I went to the doctor on Thursday and asked her to put me on metformin. She agreed that this was a logical next step, and ordered the two hour fasting blood glucose test for me on Friday.

I took the test on Friday, went home, and had a very bad sugar crash around noon, about 15 minutes after the end of the test. I had some glucose rescue tabs and ate some normal food. An hour or so later, I went and worked out, but was too weak to do any leg work. I started feeling like myself again around 6-7.

I checked the test results online, and they were within normal range. I figured this was a normal response to the test, so I went about life as usual.

On Saturday morning, my doctor called me to ask if I was ok.  She wanted to know if I’d passed out from the test, my end count was apparently 42 – normal range was something like 90-125 and she’d expected me to be above that range.  Below apparently means I produced a bunch of insulin that used up all the sugar in my blood and made me feel terrible.  She told me to hold off on the metformin until she talks to an endo, she’s not sure it’s the right thing for me now.

So, now I apparently have this thing.  I have no idea what it’s called, I can’t seem to find anything online about a low test, only information about it being high pointing toward type II diabetes.

UD 2.0: Intermission

I’ve gotten behind on my posts.  While I am keeping a record of what I’m doing, I’m beginning to think that a couple of weeks here is sufficient, because I’m doing the same things on the same days of the week 🙂

I’ve been eating the same stuff, therefore staying on track for calories and macros.

Monday workout:

  • Leg Press: 195×15-215×15-235x15x15x15x15
  • Leg Curl: 135×15-150x15x15-135x15x1515
  • Bench Press: 75×15-65×15-60×15-55x15x15x15
  • Cable Row: 60x15x15x15-45x15x15x15
  • Lat Raise: 15x15x15x15
  • Calf Raise: 150×15-155×15 (This hurts my back, switching to one leg)
  • 1 leg Calf Raise: 15x15x15x15
  • Curls: 40x15x15x15-37.5×15
  • Tricep rope pushdown: 30×15-25×15
  • Tricep pushdown: 105×15-90×15
  • Rear Delt Fly: 15×15-45×15
  • Pec Fly: 45×5
  • Elliptical: 8 minutes
  • Walk: 30 minutes

Tuesday Workout:

  • Leg Press: 235×15-255x15x15x15-135x15x15
  • Leg Curl: 150x15x15-135x15x15x15x15
  • Incline Bench: 45x15x15x15x15x15x15
  • Lat Pulldown: 75x15x15x15x15x15x15
  • Lateral Raise: 15×15
  • Rear Delt Fly: 30x15x15
  • Calf Raise (1 leg): 35×15-55×15-35×15
  • Calf Raise: 155x15x15x15
  • Curls: 40×15-35×15-30x15x15
  • Tricep Extension: 40x15x15-30×15-35×15
  • Concept 2: 30:05 4,225m

I’m headed to Defcon for the next few days, so I’m not quite sure if I’ll be able to get in exactly the workouts I need.  Diet should be ok, we’ll see.

UD 2.0 Wednesday: Day 10

Calves stil sore this morning, but not nearly as bad as yesterday.

I sugar crashed really hard today.  This hasn’t happened to me on low carb since my first time, so it must be related to the carb-up.  I ate a few cherries, this helped some.

Morning weight: 199.4 lbs

Today’s Workout:

  • All I managed today was to walk around Safeway.

Today’s Food Intake:

  • 2 protein shakes (6 total scoops)
  • Chicken and broccoli stir-fry
  • Cherries
  • Skim milk
End of day macros (an estimate due to picnic):
  • Calories: 1,542 (target 1,435)
  • Protein: 305 (target 231)
  • Fat: 18 (target <= 25)
  • Carbs: 20 (target <=72)

Supplements/meds:

  • 88mcg Synthroid
  • 1 Claritin (am)
  • Morning mix + 3g l-tyrosine + 5g creatine + 2g glutamine + 2g beta alanine
  • 600mg Calcium (4 hours after Synthroid)
  • Evening mix
  • 1200mg Calcium
  • Iron
  • Daily Multivitamin
  • 5g Glutamine
  • 2 ZMA
  • Potassium
  • 6 Fish oil
  • 8,000 iu Vitamin d

UD 2.0 Tuesday: Day 9

My calves are so sore this morning that I’m having trouble walking.

Morning weight: 202.0 lbs

Today’s Workout:

  • Leg Press: 135x15x15-155×15-115×15-120×15-115×15 (Variety of machines)
  • Laying Leg Curl: 70×15-67x15x15 (Uncomfortable, but someone was on the seated machine)
  • Seated Leg Curl: 135x15x15x15
  • Incline bench press: 45×15-40x15x15x15x15-20×20 (Can you believe someone stole my bar???)
  • Lat Pulldowns (varying grips): 75x15x15-60x15x15x15
  • Lateral Raise: 3/3x15x15-0x15x15x15x15
  • Calf Raises (Standing): 135×15-115×15-95x15x15-75x15x15
  • Machine Preacher Curls: 40×15-30x15x15x15
  • Tricep Pushdown: 105×15-90×15-75x15x15
  • Concept 2: 15 min: 2280m
  • Elliptical stepper machine thingie: 15 min, .63 miles

Today’s Food Intake:

  • 2 protein shakes (3 total scoops)
  • Chinese bbq pork
  • String beans loaded with garlic
  • Spinach with feta
End of day macros (an estimate due to picnic):
  • Calories: 1,278 (target 1,435)
  • Protein: 191 (target 231)
  • Fat: 50 (target <= 25)
  • Carbs: 8 (target <=72)

Supplements/meds:

  • 88mcg Synthroid
  • 1 Claritin (am)
  • Morning mix + 3g l-tyrosine + 5g creatine + 2g glutamine + 2g beta alanine
  • 600mg Calcium (4 hours after Synthroid)
  • Evening mix
  • 1200mg Calcium
  • Iron
  • Daily Multivitamin
  • 5g Glutamine
  • 2 ZMA
  • Potassium
  • 6 Fish oil
  • 8,000 iu Vitamin d

UD 2.0 Monday: Day 8

Hit hard by DOMS this morning.  I’m moving the workout to afternoon to give myself a bit of extra rest.

I don’t know how my calves are going to take tomorrow’s workout, they felt pretty destroyed by the end of today’s.

Morning weight: 204.0 lbs

Today’s Workout:

  • Leg Press: 135x15x15x15-130x15x15-145×15
  • Laying Leg Curl: 80×15 (Uncomfortable, but someone was on the seated machine)
  • Seated Leg Curl: 120x15x15x15-135×15-150×15
  • Chest Press: 45x15x15-30×15 (This is killing my good shoulder.  I’m done with this machine)
  • Bench Press: 65×15-55×15-45×15
  • Row Machine: 45x15x15x15
  • Cable Row: 45x15x15-60×15
  • Lateral Raise: 3/3x15x15x15-0x15
  • Calf Raises (Seated): 135x15x15x15x15
  • Calf Raises (Standing): 135x15x15
  • Machine Preacher Curls: 40x15x15-30×15-35×15
  • Tricep Pushdown: 60×15-90x15x15-105×15
  • Elliptical stepper machine thingie: 30 min, 1.09 miles – gradually cranked the resistance from 40% up to 100%

Today’s Food Intake:

  • 2 protein shakes (3 total scoops)
  • Chinese bbq pork
  • String beans loaded with garlic
  • Spinach with feta
End of day macros (an estimate due to picnic):
  • Calories: 1,278 (target 1,435)
  • Protein: 231 (target 229)
  • Fat: 30 (target <= 25)
  • Carbs: 9 (target <=72)

Supplements/meds:

  • 88mcg Synthroid
  • 1 Claritin (am)
  • Morning mix + 3g l-tyrosine + 5g creatine + 2g glutamine + 2g beta alanine
  • 600mg Calcium (4 hours after Synthroid)
  • Evening mix
  • 1200mg Calcium
  • Iron
  • Daily Multivitamin
  • 5g Glutamine
  • 2 ZMA
  • Potassium
  • 6 Fish oil
  • 8,000 iu Vitamin d

UD 2.0: Day 7

Woke up stiff and sore this morning.

Morning weight: 204.2 lbs

No workout today.  Walked all around Volunteer park, including up the stairs to the top of the water tower and back down.

Today’s Food Intake:

  • 3 protein shakes
  • A sandwich from Jimmy John’s
  • A gyro
  • A few greek fries
  • Some fruit with small pieces of chocolate
End of day macros (an estimate due to picnic):
  • Calories: 2,721 (target 2,440)
  • Protein: 213 (target 205)
  • Fat: 105 (target <= 118)
  • Carbs: 165 (target <=139)

Supplements/meds:

  • 88mcg Synthroid
  • 1 Claritin (am)
  • Morning mix + 3g l-tyrosine + 5g creatine + 2g glutamine + 2g beta alanine
  • 600mg Calcium (4 hours after Synthroid)
  • Evening mix
  • 1200mg Calcium
  • Iron
  • Daily Multivitamin
  • 5g Glutamine
  • 2 ZMA
  • Potassium
  • 6 Fish oil
  • 8,000 iu Vitamin d