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Lethbridge Herald Newspaper Archives

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Lethbridge Herald, The (Newspaper) - February 13, 1974, Lethbridge, Alberta 28 LETHBRIDGE HERALD February Lawrence Lamb M.D. Dear Dr. Lamb I am a 70- ypar-old diabetic man. I've had it for 25 years. I take insulin twice a day. Until three years ago I was pretty well controlled Then everything went haywire. I would go for days showing very little sugar or none at all in tape tests of my urine and be feeling fine Then I would go a few days showing two or three plus sugar and would have an insulin reaction. I've even had a four plus sugar test and had a reaction Could you possibly tell me why these reactions occurred with so much sugar showing in the urine9 The tests were taken before, after, and during the reactions We have had the same doctor for more than 40 years, and he has never been able to explain it to me Just tells me to try and stay at two plus to avoid reactions because I am a "brittle and yet I have reactions while showing four plus. We read your column every night and hope you will be able to give us the answer to our most urgent problem. Dear Reader The sugar in the urine is directly related to how much sugar there is in the blood To have an insulin reaction you would have to have low blood sugar That doesn't cause sugar in the urine So, there are two possibilities that come to mind You may have some type of kidney defect that causes you to filter out a lot of sugar in the urine even when your blood sugar is normal or on the low side These are quite rare problems and rarely defects of this nature are the cause of low blood sugar. If it is not the kidney filtering mechanism, then I would think of a problem in your bladder emptying mechanism I think this is more likely, and you may have a large prostate gland preventing you from emptying your bladder completely In that case, you could collect unne in the bladder when your blood sugar is high and then not eliminate it until after the blood sugar has fallen. Large volumes of urine can be trapped in the bladder with obstruction from a large prostate. Using urine samples under these conditions to judge your blood sugar level' could be very misleading. You would be adjusting your insulin dosage to urine that may have been collected even a day or so earlier. A large reservoir of urine retained in' the bladder would always be there mixing with the newly formed urine. You should be chuked to see if you are retaining urine in your bladder. Your doctor may want to have you consult a urologist. He. could check out this problem by having you empty your bladder completely and then using a cacheter to drain the bladder to see if there is still more urine left in the bladder. If retention of urine in the bladder is not the problem, then your kidney function should be evaluated Finally, you may need to have your insulin regulated by using blood tests, then stay on that amount. Send your questions to Dr. Lamb, in care of this newspaper, P.O. Box 1551, Radio City Station, New York, N.Y. 10019. For a copy of Dr. Lamb's booklet on low blood sugar, send 50 cents to the same address and ask for "Blood Sugar" booklet. Flashback By THE CANADIAN PRESS Feb. 13, 1974 Canada's most costly strike, in terms of time lost, was settled 18 years ago today in 1956 when General Motors agreed to a wage increase in its five Ontario plants. The 148-day strike caused a loss of man days 1954 Agnes MacPhail, Canada's first woman member of Parliament, died 1920 Switzerland was admitted to the League of Nations. 1907 The city of Portage la Prairie, Man., was incorporated 1868 The first session of the New Brunswick legislature was held. 1866 The James Younger gang staged its first bank robbery in Liberty, Miss. LONGTIME The longest measure of time is the kalpa in Hindu chro- nology It is equivalent to 4.320 million vears. Goran on Bridge BY CHARLES H. GflREN Tkt CWcm TritaM Both vulnerable. North deals. NORTH J7 V 64 O Q542 A J 7 6 5 WEST EAST AQ864 VI O 10 0 J 8 7 3 8 3 A 10 4 2 SOUTH 92 <2 J 10 8 5 O AK96 The bidding: North East Sooth West Pass Pass 1 NT Dble. Pass Pass Rdble. Pass Pass Pass Opening lead: King of