Question:
From Iowa:
I am a 17 year-old college student. I was "diagnosed"
with hypoglycemia this autumn. I have been diagnosed on the basis of
my symptoms and blood work done while I was not symptomatic. I have
only seen nurses at my student health center and our small community
clinic. The nurses I have seen have not been able to explain
hypoglycemia to me so I did my own research at a nearby medical
library.
Several friends in the medical profession tell me that I need
to see a doctor to have diagnostic testing, such as a glucose
tolerance test, in order to confirm the diagnosis. Would this be the best
measure? My student insurance does not cover anything unless they
refer me to the doctor themselves and since they won't refer me, how
should I go about seeing a doctor? I am currently applying to the
local fire department and am also beginning training classes in
January. I am having a lot of problems with exercising and do not
know how to manage this. I can only run or bike for a mile or so before I
crash. I have even lost consciousness a few times lately. Do you
have any suggestions? How should hypoglycemia be monitored differently
from diabetes? Any advice that you could offer would be greatly
appreciated.
Answer:
It would be unwise for me to comment on your story without a
great deal more information. However, if you have had episodes of losing
consciousness, you certainly need to see a physician. I suggest that you
try both by phone and in writing to contact the director of your student
health clinic and that at the same time you take your problem to the Dean
of Students.
It is possible for diabetes to present as hypoglycemia at your
age; but there are other possibilities that may be less easy to
diagnose. Moreover the diagnosis needs to be unequivocally confirmed with
the appropriate tests. There also needs to be a full history and a
complete physical exam. One other possibility is that at your age you may be
covered by your parents' health insurance and that you could start the
work-up process at your family physician's office during the Thanksgiving
holiday.
DO'B
Original posting 23 Nov 96