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Son suddenly having health issues while running (Read 220 times)

    I've always called type-2 "self induced diabetes", because a lot of people who have it are very overweight and have horrible diets. There are a small number of fit people who develop type-2, though. And maybe XCdad's son is undiagnosed type-1? About 6-7 years ago I had a blood test as part of a checkup and the glucose levels came back around 650! The doctor thought that it must be a mistake, and a week later I fasted and everything like I was supposed to and they were around 300. I never did follow up on that, I guess it's time to have a blood test again.

     

    wow!

    uh... ya you should!!!

     

    Adult onset diabetes is not always "self induced diabetes".... (google MODY diabetes... Mature Onset Diabetes of the Youth)

    Life Goals:

    #1: Do what I can do

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    paul2432


      Sure sounds like a classic case of over training and hitting his work outs too hard and cranking vs a steady progression. 

       

      I agree with this.  True overtraining can take weeks or months of recovery. There is no cure but dialing it way back and taking it easy.

       

      Has there been a change in waking heart rate?  How is his motivation? Did he run a lot over the summer?

       

      It could be the stress of starting the school year combined with being already near the edge pushed him over the edge.  No need to answer publicly, but consider other stress as well, girlfriends, home life, applying to college, etc.

      zoom-zoom


      rectumdamnnearkilledem

         

        wow!

        uh... ya you should!!!

         

        Adult onset diabetes is not always "self induced diabetes".... (google MODY diabetes... Mature Onset Diabetes of the Youth)

         

        Yep. Type 1 diabetes is no longer called “juvenile diabetes,” as it’s becoming increasingly common for the onset to be in teens and adults.

        Getting the wind knocked out of you is the only way to

        remind your lungs how much they like the taste of air.    

             ~ Sarah Kay

        mjz4


          I would be very concerned about a BS value of 239 after any meal. !

          First, I'd have him eat a normal meal, then repeat it 1 hr later to make sure it wasn't machine error.

          If it was greater than 170, I'd be very concerned about diabetes and probably check HbA1C levels, fasting insulin levels.

          If those were normal, I'd again consider overtraining, as this can raise cortisol which in turn can elevate blood glucose.

          I'd definitely recommend against the glucose tablets until you know what you are dealing with.

          tom1961


          Old , Ugly and slow

            I've always called type-2 "self induced diabetes", because a lot of people who have it are very overweight and have horrible diets. There are a small number of fit people who develop type-2, though. And maybe XCdad's son is undiagnosed type-1? About 6-7 years ago I had a blood test as part of a checkup and the glucose levels came back around 650! The doctor thought that it must be a mistake, and a week later I fasted and everything like I was supposed to and they were around 300. I never did follow up on that, I guess it's time to have a blood test again.

            650 you should have been in the hospital

            300 is still high

            first race sept 1977 last race sept 2007

             

            2019  goals   1000  miles  , 190 pounds , deadlift 400 touch my toes

              650 you should have been in the hospital

              300 is still high

               

              Yeah, that's why he thought it was a mistake. I felt perfectly fine, although at the time I was probably only running 20 miles a week and cycling 50. EKG last year showed a dip that the Dr said "if you weren't right in front of me and talking with me, I'd say you were having a heart attack by looking at this". It just shows that medical measurements and testing can be incorrect. Multiple tests need to be done in order to establish a trend.

              60-64 age group  -  University of Oregon alumni  -  Irreverent and Annoying


              Feeling the growl again

                Really need to chase down these sugar issues.  What is his A1C?

                 

                Don't trust "normal" values of iron/ferretin numbers.  They can impact running far before they exceed the "normal" range.

                 

                With a kid of that age the first assumption is over-training.  But multiple things are possible.

                "If you want to be a bad a$s, then do what a bad a$s does.  There's your pep talk for today.  Go Run." -- Slo_Hand

                 

                I am spaniel - Crusher of Treadmills

                 

                dhuffman63


                Trails

                  The problem with "normal ranges" assumes you are an average 150 lb person.  They aren't designed for athletes or people like me: female 4'9" and 95 lbs.  I'm nowhere near a normal adult size and these tests aren't designed for child sized adults. "Normal" creatine levels for the average adult make it look like I'm taking in excessive protein or a bodybuilder.  I run 18 to 20% body fat.  See if you can find a sports doc who knows runners. Overtraining is sneaky too so don't discount that.

                  dumrunner


                    I would be very concerned about a BS value of 239 after any meal. !

                    First, I'd have him eat a normal meal, then repeat it 1 hr later to make sure it wasn't machine error.

                    If it was greater than 170, I'd be very concerned about diabetes and probably check HbA1C levels, fasting insulin levels.

                    If those were normal, I'd again consider overtraining, as this can raise cortisol which in turn can elevate blood glucose.

                    I'd definitely recommend against the glucose tablets until you know what you are dealing with.

                     

                    I am not in the medical field. I do have Type 2 diabetes. I agree with mjz4, I would be concerned about blood sugar above 200 after a meal. FWIW, I would also suggest fasting blood sugar, HbA1C, and insulin levels. Also, consider having him tested for insulin autoantibodies (IAA), which can indicate Type 1. Good luck to you both.

                    XC Dad


                      Sorry for the long silence,  here is the latest update on Eli.

                       

                      After about 3 Dr. visits and several different blood tests and a chest x-ray, still dont have a diagnosis.  Primary doctor is stumped.  Have more tests scheduled for next week.  That's all the bad news.  The good news is he does seem to be improving some.  Been running less this week but issues seem to be improved.  After our most recent Dr. visit yesterday we plan to increase his Iron intake as well as Glucose tablets before his workouts. 3 weeks ago he was having to stop running after only a few minutes (both in practices and competitions) due to both leg pain (almost exclusively his quads/thighs) as well as severe nausea.  Now it is typically one or the other and they seem to alternate now instead of having both.  They also dont hit him as quickly in his run.  He is now able to do about 2 miles before he has symptoms and a few times he has pushed thru and they have actually improved while running.

                       

                      One of the oddest things is he recovers in literally 3-5 minutes and can immediately run another 2 miles as if he never ran at all.  In fact the other day, his 2nd 2 mile run was faster than his 1st 2 miles (before he had to stop due to the leg pain).  The 2nd run he stopped due to the nausea....no leg pain at all.

                       

                      We dont believe its him over training.  Only 1-2 months ago he was running 7-9 miles consistently (and at a fairly fast pace) without any ill-effects.  In fact, many times after those runs he felt really good and told me he could have kept going. That indicates to us its not over-training since he is running much shorter distances this month and not working nearly as hard as he did in the preseason or during his recent track season.

                       

                      No heart issues, pulse is ridiculously steady...even during/after workouts.  No dizziness, no numbness. Has never fainted or even felt light-headed.  In fact the ONLY time he has any symptoms is when he is actually running (thankfully). All the tests have come back negative on every test we have run so far.  Dr. admits he isnt a runner and (thanks to you guys) was fine with us increasing his Iron to see if the ferritin could be a factor as many have suggested.  We are all optimistic that will make a difference.  He is still keeping a detailed journal on meals, sleep, workouts and his daily blood tests.  With enough data we hope that might also shed some light on whats happening.

                       

                      I want to thank each of you for your input and concern for my son.  Nice to see the internet also has a good side Smile

                        Thanks for updating us, this is an interesting mystery.

                         

                        You mentioned steady pulse; is his pulse low WHILE running? That could be a sign of something (I don't know what). Anecdotes: My brother has a low pulse rate, and it's hard for him to run until he gets it up after a mile or so, and then he's fine. If he tries to push it before his pulse is up, he feels kind of like your son does. But he's 65.

                        60-64 age group  -  University of Oregon alumni  -  Irreverent and Annoying

                        HCH


                           

                          We dont believe its him over training.  Only 1-2 months ago he was running 7-9 miles consistently (and at a fairly fast pace) without any ill-effects.  In fact, many times after those runs he felt really good and told me he could have kept going. That indicates to us its not over-training since he is running much shorter distances this month and not working nearly as hard as he did in the preseason or during his recent track season.

                           

                           

                          I wouldn't be so dismissive about the overtraining hypothesis. A body can only maintain peak fitness for so long before things start to break down, and it is entirely possible your son peaked 1-2 months ago.This is a vexing problem for cross-country runners, and often the runners who win meets at the beginning of the season are not the ones who go on to win conference and state.

                           

                          So yeah, keep working with his doctor to rule out illness, but don't be surprise if they come up with no explanation.

                          Only 26.2 miles more to go.

                          tom1961


                          Old , Ugly and slow

                            What did the doctors say about the blood sugar level

                            first race sept 1977 last race sept 2007

                             

                            2019  goals   1000  miles  , 190 pounds , deadlift 400 touch my toes

                            paul2432


                              Aside from the issues, does he still enjoy running and competition?  Speaking generally here, kids pressured into athletics can have all kinds of weird symptoms that come from the dissonance of wanting to please parents but not really wanting to do the activity.


                              SMART Approach

                                 

                                I wouldn't be so dismissive about the overtraining hypothesis. A body can only maintain peak fitness for so long before things start to break down, and it is entirely possible your son peaked 1-2 months ago.This is a vexing problem for cross-country runners, and often the runners who win meets at the beginning of the season are not the ones who go on to win conference and state.

                                 

                                So yeah, keep working with his doctor to rule out illness, but don't be surprise if they come up with no explanation.

                                 

                                +1.

                                 

                                I still also see this as a probability. It doesn't matter what he felt like 1-2 months ago. A couple things I see are where he was running his long runs AT A FAIRLY FAST PACE (are his long runs suppose to be fast?) and feeling fine and also these comments, "......his 2nd 2 mile run was faster than his 1st 2 miles (before he had to stop due to the leg pain). The 2nd run he stopped due to the nausea...."  Over training appears to be being ignored as an a cause if he continues to be racing in training trying to beat times. If he was my athlete I would shut him down a week and then another week or two of only easy runs. Allow him to absorb some of his hard in season training.

                                Run Coach. Recovery Coach. Founder of SMART Approach Training, Coaching & Recovery

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