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Low K Reaction?

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Had an interesting thing happen in the middle of the night a few days ago. I

awoke at 3 a.m. with the room spinning. I could not get my bearings as

everything in the room was moving around. I then started vomiting (pretty sure

this was due to the room spinning). I did not have a fever (temp 96.1 - normal

for me), nor did I have any other flu like symptoms. My neck was sweating

profusely and my hands and feet were extremely cold.

I have always been normokalemic with my lowest serum K being 3.9 (without

tourniquet).

On the day I was sick, I did a quick finger stick and my blood sugar was at 89.

BP 143/81 right after last vomiting episode. I did get one weird blood sugar

reading of 192 at the end of the day I was sick - 3.5 hours after eating a piece

of rice bread toast with butter and honey on it (18 hours after vomiting) . . .

have not had that kind of reading ever in my history, nor have I had this high a

reading since (wondering if this was an error). The rest of my blood sugar

readings that day were 89-117.

Based on the 192 reading, did an informal glucose tolerance test this week.

During this test my fasting blood sugar read was 100 and after ingesting 66 g

carbs (5 Tablespoons maple syrup) my blood sugar went up to 109 - 2 hours post

ingestion and was at 83- three hours post ingestion.

Took a few hours for me to be able to eat the day I was sick. Once I started

getting food into me, I felt better.

I have be very light headed ever since, but am pushing K foods. Watching my

blood sugar all week and it seems to be within normal limits (85-117). Blood

pressure this week is labile (as usual)with the lowest reading at 98/56 and the

highest reading at 168/91. However, most of my readings this week have been

within normal limits.

Can a sudden drop in BP trigger the room spinning and vomiting?

I do have elevated billirubin at 1.9 (ref 0.2-1.2), maybe this triggered

something?

Any thoughts?

Labile hypertension, PA per Dr. Grim, awaiting Stanford consult, low platelets,

elevated billi, elevated hhv-6 antibodies, 3x 24h urine volume, DASHing

successfully.

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