Angina and hypo's

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M

Minster

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Relationship to Diabetes
Type 1
hi all,

well i have been diagnosed with angina (not happy with it but hey ho could be worse i guess) and have started to experience a lot of hypo's since i started on the spay for it. not really a patern to it, just happens when it wants really. went very low yesterday while out with the partner and kids (down to 2.1).

is any one else a sufferer of angina?
and if so do you suffer hypo's with it?

hope someone can help

thanks in advance
 
Can't find anything to link hypos and GTN spray. If there is no pattern between using the spray and the hypos then I think you need to look at other causes for the hypo's. How long have you had angina and been using the spray for?
 
For sometime I was diagnosed with Angina, later the diagnosis was changed to autonomic neuropathy, which when not altering my pulse and blood pressure was creating angina like pains.

The spray (GTN?) is supposed to be very effective to increase the flow of blood into your heart muscles it's also available as a tablet, I found the spray better to carry and use.

As for pain and hypos it can work two ways I've found, to either raise or lower your BS levels. Mild'ish pain I find increases my levels, extreme pain, such as that in my heart muscle reduced it considerably.

A lot will depend on what they are planning on doing to further investigate your angina and then treat it. This will then depend on your age. But I'd suggest you keep on top of the medics on this one, as having circulatory problems in conjunction with diabetes is not a good recipe and needs you to take extra care.

If you're into extreme sports then I'd suggest you cut right back until you've seen a specialist and discussed your exercise regime and how it triggers your angina. It was certainly something they were very strict on with me when it came to swimming and other exercise. While there wasn't a specific trigger in my pain, which is now known not to be angina, they wanted the condition stabelised before I exerted myself.

So don't go running any marathons before it's all settled!
 
GTN is known to cause headaches, due to its action of widening blood vessels, not just in the heart, where widening reduces he pain of angina, but throughout the body. So, perhaps that could affect you blood glucose levels? Definitely worth discussing with whoever prescribed your GTN spray. In the meantime, you could record each experience of angina / chest pain and each use & effect of GTN spray, and take this record when you discuss the issue.
 
Also just to mention that you can't take GTN and viagra, hopefully the people prescribing for you are communicating well.
 
I have never had a problem with going low after taking GTN spray ...
 
I too have Angina and use a spray, up to yet no Hypo's or side effects
I was at the Dr's when I had my first and was whisked to hospital, also had ecg .. anyway to cut a long story short ... I had tests etc and had 3 Stents fitted and caught MRSA while in there - OOOOO the joy! hahaha if you can't get good advice from GP. try your pharmacist
Good luck

Hugs Mo xx
 
On the matter of the interaction between GTN (spray or tablets) and viagra (plus I'm sure the other ED drugs), and then widening it to all drug interactions most pharmacies have an area where you can sit down with the pharmacist and go through all your medications, what they do, how they work with each other.

Pharmacists have a far superoir knowledge of what drugs interact with others and perhaps once a year just going through everything is a worthwhile exercise, sometimes you discover you can drop some drugs, which is always a positive.
 
hi everyone,

thank you for the replies. i was a little taken aback with the hypos so i spoke to my dsn and she is certain it is due to the gtn spray interacting with other medication i take. she has told me to go for a review with either my gp (she isnt back for over a week) or with my local chemist (who i know very well). i also know that if i take viagra it will interact with the gtn, but have been told by a cardiologist consultant that it is ok to use one with the other, but i will double check this with the chemist.
 
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