Introduction

I am 68 years old and was diagnosed with Type 2 Diabetes about 20 years ago.

Back in my 20s, I suspected diabetes and had a number of glucose tolerance tests done. They all came back normal. I did experience episodes of low blood sugar which were ignored and dismissed by doctors.

When I was 27, my mother was diagnosed with type 2. I also learned that my grandmother (Mom's Mom) was Type 2. Since then I have learned that at least three of my first cousins are Type 2.

I also have hypertension and so did 5 family members. I am the only one still alive. I have had a minor stroke (ie it showed on a CT scan) and a couple of TIAs (sudden loss of consciousness, falling and getting hurt).

I take metformin and glipizide and have always followed a healthy, clean diet. I've gotten my A1C down to 6.8 and my daily numbers are in the 160-180 range with occasional spikes to the low 200s. Despite keeping a blood glucose log, a food journal with pictures and recipes, my doctors say I'm lying.

I take metoprolol and amlodipine for blood pressure and my pressure is now normal. Hydrochlorothyazide was added when I retained so much fluid that my skin split and started sloughing off. The swelling has gone and my skin is slowly healing. I also take oxybutynin, a weekly megadose of vitamin D (50,000 units) and a baby aspirin.

I had a hysterectomy (severe endometriosis) when I was 29 and between menopause and diabetes have gained 100 pounds. I consume about 1200 calories a day.

Once, I was active. I could bike 50 miles a day, swim 2 miles, x-c ski continuously for 8 hours, walk 10 miles a day and loved to walk up hills. Now, I can barely walk across the room and am profoundly fatigued to the point that I can't clean my house.

What I am looking for are hints on how to improve my energy so that I can take care of my home. I have inquired about a PCA and am not eligible. My doctor will not support my efforts to get help, saying that if I am able to drive the 7 miles to her office, I am not eligible. It makes no difference to her that after a visit, I can't get out of bed for two days.

Your comments and suggestions are welcome.

Thank you for your attention.