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tampairish

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severe headaches diabetic
Posted: 06-25-08 15:38pm

My aunt is 61 years old. she has been a non-compliant diabetic for 18 years, and is suffering subsequent problems now due to the lack of due diligence.

About a month ago she was c/o severe headaches, accompanied with n/v. the h/a's would start behind the eyes and radiate to the top of her head and around to the back of her head.

Along with the headaches, she also had severe hypertension - upwards of 250 over 140 - every time she has these head aches. Her blood sugar shoots up to 400+ as well.

She has no history of hypertension. she is not on any bp meds either. She has two TIA's in the past (approx. two years ago was the last one).

She went into the hospital and had a battery of tests. here are the results:

CT of the head: Negative
MRI of the head: Negative
MRA of the Kidney's: Negative
CBC: Normal
CMP: Normal (mind you, this is an 18 year, non-compliant diabetic)
EKG: Normal
Ultrasound of the Kidney's: Normal

It was then suspected that she had Renal Stenosis, however, when the dye was injected, they saw that the arteries were, in fact perfectly patent w/o occlusion.

They finally sent her home, however, she is still suffering from horrible headaches. she can not take migrane/cluster headache meds because she's allergic to sulfa.

the doctors are stumped, I'm stumped and her husband is stumped. please, someone offer some insight.
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Carifairy

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Posted: 06-25-08 16:08pm

It seems to me that it is very easily explained.

I am a womans health nurse Smile

Diabetics who are 'non-compliant' will have a HUGE range of symptoms. These can CERTAINLY include headaches, stroke, and hypertension.

I am shocked that any doctor would seem stumped. I would expect to see that and possibly MORE from a diabetic who has not been very diligent with her health.

Also.. Many patients with high blood pressure will have headaches, that is a side effect of high blood pressure in general. Weakness and tiredness are symptoms as well.

I recommend seeking out a new doctor, PREFERABLY someone with experience for patients age 60+ GERONTOLOGISTS

These are all interconnected! She NEEDS to control her blood sugar! It needs to be WELL below 120.
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tampairish

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Joined: 25 Jun 2008
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Posted: 06-25-08 17:43pm

she has also had a lumbar puncture, which was negative.

the problem, at this point, is that no matter what they try, they can nor control the BP. she is on clonidine, and another BP med that is supposed to spare the kidney's because of the years of abuse they have taken.

I'm starting to think more along the lines of a tyramine sensitivity, although she is not on any MAOI's or antidepressant psych meds (she DOES take Xanax PRN, and is on Lexapro), that would cause the sensitivity to increase.

I'm very concerned about the BP as well as the sugar. Her sugars are in the 115 to 140's prior to the onset of the headache. As soon as the headache hits, EVERYTHING shoots up.

She is not eating anything due to the N/V the headaches induce.
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Carifairy

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Posted: 06-25-08 18:03pm

It could be that when everything goes up that she will get headaches..

It could be that happening...

Is she actually taking the meds properly? IF she does not take proper care of her diabetes, then she could be neglecting her health..

kidney issues by itself can really increase blood pressure and cause problems.
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