Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

Please see my question regarding my shaking and quivering i

Customer Question
would appreciate a second...
please see my question regarding my shaking and quivering i would appreciate a second oppinion
Submitted: 6 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 15 hours by:
4/1/2011
Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16,378
Experience: Board Certified NP, MS, RN. 25 years private practice & hospitalist
Verified

Hello,

Welcome to Just Answer and thanks for your question. I only see one other question from you and that has been locked by customer service so that it cannot be read. You would need to tell us everything all over again.

Ask Your Own Health Question
Customer reply replied 6 years ago

I am 58 and type 2 diabetic having shaking and quivering at different times of the day not always the same some worse than others my numbers are good between 5-6 sometimes 4, these reactions cause me to be agitated and nervous, this interfers with my job as i deal with babies and am affraid of dropping one. My dr says these are unusual he has never seen these before and i can not see an endocronologist for 18 months my muscles get sore and i get cold from these, i feel like i have been tasered, can this damage my nerves or muscles how do i stop this?

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

Thanks for the information. Your blood glucose readings are excellent, and I agree with your GP that those are not the cause of your symptoms. As for "how do I stop this?" - that all depends on what "this" is. Only your own doctors who treat you in person can begin to run the tests that will determine what the diagnosis is. Certainly anxiety is one possibility. Some kind of neurological disorder is another. The feeling won't damage your nerves or muscles, but your GP still needs to determine what is causing the feeling.

Ask Your Own Health Question
Customer reply replied 6 years ago

thank you for this info but i never had nervous and anxiety problems before starting on diabetic meds and they cause me problems now especialy at work because i deal with babys and am afraid of dropping one when this shaking and quivering starts will I be living like this thr rest of my life. I ca not see an endocronoligist for 18 months what do I do in the mean time?

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

You can see your regular GP. The diabetic medications will not cause shaking and quivering. I hope your doctor has sent you for nutritional consultation with a registered dietitian to help you keep your meals within healthy limits. It takes diet, medication, and exercise to completely manage diabetes. Sometimes just the stress of a new diagnosis can trigger anxiety that has never been bad enough to be noticed before. I've never heard of an insurance company that denied the patient consult with an endocrinologist for 18 months. You should definitely appeal that.

A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16,378
Experience: Board Certified NP, MS, RN. 25 years private practice & hospitalist
Verified
A. Schuyler, NP and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 6 years ago
lt;p>I kept track of the shaking and quivers for a month for the dietician my lowest number was 3.8 once only the rest 4.2-7.7 the highest and only twice it was at 7.7. I see her in 1 week, the reason I can not see the endocronologist for 18 months is that he is booked up till then not that I have been denied access. I do not think I can stand this for 18 months they really upset me and make me agitated I worry more about work and possible accidents from these shakes and quivers. This will just make my blood glucose levels go up from the stress. I need help</p>
Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

Is there only one endocrinologist in your area of the country? Generally there are at least several in any town. This isn't something that should go on for 18 months since it puts not just your charges but you yourself in peril if you fall, for instance. Blood glucose either too high or too low can cause the shaking. Your really don't want to be much below 5 or above 8. I would aim for a nice 6.0 most of the time. If you get a 3.8, you should have something to eat like 4-8 ounces of milk. Orange juice (no more than 4 ounces) has been an old standby for raising blood glucose, but it tends to raise it too high, too fast and then it tanks again putting you right back where you were to begin with. The milk has some protein along with the carbohydrate and will give a better, smoother increase. If you don't drink milk, then low-fat yogurt, or a whole wheat cracker with some peanut butter or a bit of cheese will accomplish the same thing.

 

ADA

AACE

Fasting

5-7 mmol/L

<6 mmol/L

2 hours after meals

<10 mmol/L

<8 mmol/L

HgbA1C

7.0 %

6.5 %

Ask Your Own Health Question
Customer reply replied 6 years ago

The 3.8 was only one time like I said, my readings are between 4-6 occasionaly 7 not over 8, but I still get these reactions.Try going to sleep at night when your body is shaking and quivering so you can not get to sleep and then get up in the morning to go to work short of sleep. this is not good for me either. There are three endocronologists here but they are all the same this is the fastest one and the one that I can understand the accent. My Dr. is aware of these reactions but he doesn't seem to be to worried he told me a type 2 diabetic does not need to see an endocronologist but my consistant naging he finally agreed but now It has taken me 6 months longer and I don't think I can do this anymore I am tired and frustrated I just want to go back to my old life style when I didn't have reactions.

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

You can see if he will give you a mild anxiety medication (such as an SSRI) to see if that helps.

As a diabetic myself, I agree that not every Type 2 needs to be managed by an endocrinologist. I manage lots in my practice. However, when someone is having symptoms such as you are, it is incumbent upon the provider to find out why. That is what we are paid for. Anxiety is common and can cause the symptoms. If that is the cause, then you would know within a month of starting once-daily medication.

Ask Your Own Health Question
Customer reply replied 6 years ago

In January he tried effexor37.5 once daily is that the same because it made no difference I still have the shaking and quivering?

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

Are you still taking it?

Ask Your Own Health Question
Customer reply replied 6 years ago

No

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago
It takes up to 4 weeks to see if an anti-anxiety medication is going to work or not. If it doesn't, then another type can be chosen. Effexor is a combination drug that is both SSRI and SNRI. A trial of Zoloft might be better.
Ask Your Own Health Question
Customer reply replied 6 years ago

What is SSRI or SNRI and why did My Dr. not suggest the change if effexor didn't work. How does this stop the shaking and would I be on it forever Is it addicting.?

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

SSRI is selective serotonin reuptake inhibitor and SNRI is selective norepinephrine reuptake inhibitor. Anxiety is thought to be a problem with one or more of these neurotransmitters in the brain. Increasing the levels of serotonin or norepinephrine can help with the symptoms. They are not addicting. Addicting implies that someone derives pleasure from their use. If someone needs them, they can be taken for life, just like diabetes medication or thyroid supplements.

I have no idea why your doctor didn't suggest taking another medication. Anxiety can be a common side effect of some of these drugs. That means that it gives just the opposite effect of the one you want. Often that side effect decreases over the first month of use. Sometimes it doesn't. It is each person's individual response.

Ask Your Own Health Question
Customer reply replied 6 years ago

What upset these neurotrasmitters now or why didn't I have this before? Thankyou so much for helping me can I contact you again sometime. I am not real good on the computer so please bear with me when I am having trouble getting back to you. Ussually my daughter needs to help when she isn't working.

Health Professional: A. Schuyler, NP, Nurse Practitioner replied 6 years ago

I wish we knew what upset neurotransmitters. We don't. We just know how to treat to get some relief of the symptoms. You can always ask for me when you place a question. Just put my name in the title of the question. I am the only Schuyler at Just Answer.

Ask Your Own Health Question
Ask A. Schuyler, NP Your Own Question
A. Schuyler, NP
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16,378
16,378 Satisfied Customers
Experience: Board Certified NP, MS, RN. 25 years private practice & hospitalist

A. Schuyler, NP is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
My two year old daughter woke up with a very hard and
My two year old daughter woke up with a very hard and swollen belly. No fever but seems very uncomfortable. Crying and pointing to her belly… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
808 satisfied customers
I have severe morning headaches, here are my MRI results.
I have severe morning headaches, here are my MRI results. Multilevel cervical spondylosis at c567 with impingement on the central subarachnoid fluid column and neural foraminal. C3-4 mild right forami… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I woke up with-diarrhea this a.m. I, have had it all today
Hi. I woke up with-diarrhea this a.m. I, have had it all today and still have it. I have gerd,but no other GI problems. Is it ok for me to take something like Imodium now? I cannot even leave my house… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
My son was taken by ambulance to the ER and we are wondering
My son was taken by ambulance to the ER and we are wondering if that comes from our deductible and max out of pocket too. Our per person deductible is 1000 and max 4000. Family is max 9000. Does the a… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
My EBV EA is 87.9, IgM is 750, and EBV NA 141. I first had
My EBV EA is 87.9, IgM is 750, and EBV NA 141. I first had mono at 18. I have have repeated relapses. Does that indicate re-activation? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
808 satisfied customers
My period started coming every 19 or 20 days. Is that
My period started coming every 19 or 20 days JA: Have you been keeping a personal medical record? Customer: Is that normal JA: Anything else in your medical history you think the doctor should know? C… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
808 satisfied customers
I had the stomach flu two weeks ago having symptoms
I had the stomach flu two weeks ago having symptoms resurface I think again. Diarrhea … read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
Two days ago, I noticed I was seeing thick black marks in my
Hello. Two days ago, I noticed I was seeing thick black marks in my vision upon awakening. They only last for a few blinks and once I'm fully awake they disappear until the next time I fall asleep and… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
808 satisfied customers
I just accidentally took 1200 mg of ibuprofen instead of
I just accidentally took 1200 mg of ibuprofen instead of 600. I took two of them because I thought it was my gabapentin prescription bottle, and I take two of those and they are white just like the 60… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
Please compare this mole, pics taken about a month apart.
hiplease compare this mole, pics taken about a month apart. looks the same to me but juat want tp check. thanks… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
Yesterday I was unable to pass stool and almost passed out
Yesterday I was unable to pass stool and almost passed out trying. I pushed and strained so much finally had to use an instrument to help me. About 4 hours later I started cramping in my lower perineu… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Not sure but I had gastritus for about 3months. Since then
Not sure but I had gastritus for about 3months . Since then Mo more stomach pain up till today after I had taken 1 pill of enzymes. Pain lasted for about 4 hours feels better now but still a little to… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Last night I feel having a cold and I took Nyquil this
last night I feel having a cold and I took Nyquil this morning I woke up and see my tong was blue ir black? … read more
TheGermDoctor
TheGermDoctor
Physician
Post-Doctoral Degree
751 satisfied customers
Can I take amoxicillin for bronchitis? I am coughing up the
can I take amoxicillin for bronchitis? I am coughing up the rubber worms. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,311 satisfied customers
I havd the flu. Yesterday 102 fever then went down to 98.6.
I havd the flu. Yesterday 102 fever then went down to 98.6. About 5 hours was 99.5 and is now 96.9 … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,083 satisfied customers
At the time I first noticed I was about 20 years old. At 17
At the time I first noticed I was about 20 years old. At 17 I think I contacted the HPV. I had unprotected sex, and the girls Virgina pinched me. She was also 17. January 2016 I had check-ups for STD/… read more
Dr. R. Bora
Dr. R. Bora
Medical Internist / Senior Resident
Doctoral Degree
1,392 satisfied customers
My blood sugar is 333 and I am on flimeperide and 1000
My blood sugar is 333 and I am on flimeperide and 1000 metformin. What should I do to lower it really quick… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,311 satisfied customers
Embarrassing... But for about 3 weeks now i've had abdominal
embarrassing... But for about 3 weeks now i've had abdominal pain and rectal bleeding. One day I had to wear a pad.. red with some clots, most of the time without having had a BM. … read more
Dr. Das, MD
Dr. Das, MD
Senior Consultant, Radiodiagnosis
MBBS.MD
1,013 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x