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Bertha Venation

(21,484 posts)
Thu Jul 25, 2013, 10:51 AM Jul 2013

I am so, so tired

Long ago I took this complaint to my doctor, who ordered a sleep study. CPAP was prescribed and for a couple of years it seemed to work well.

For the last several months, I have awakened tired, driven to work drowsy, sometimes nodding off,* and have nodded off at my desk. Daily. On the weekends, I take naps. In fact, I'll get up and enjoy my ritual -- have coffee and sit in my chair or outside in good weather and read. Well, I don't read anymore, although I try. I fall asleep.

I had another sleep study a couple of weeks ago. Since my doc is on vacation, I don't have the results yet. Perhaps the CPAP is set at the wrong pressure, or I need a different mask; the sleep study tech made these suggestions. My wife wonders if I might be anemic.

I am so very tired of being tired. I hate dragging myself through the mornings. I can't concentrate. I make notes on tasks throughout the day; sometimes I can't read my writing, and have to go back to the boss to find out what the task was. This is embarrassing.

I am SO very tired of being tired.

Until I see my doc -- any practical suggestions? Not looking for medical advice.

* I have found a way to keep from nodding off while driving to work. I eat celery.

Cross-posted to Chronic Health Conditions Discussion and Support

31 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
I am so, so tired (Original Post) Bertha Venation Jul 2013 OP
no practical advice to give, other than eat healthy, get plenty of rest, magical thyme Jul 2013 #1
thanks, magical thyme Bertha Venation Jul 2013 #16
I wish I could help, my dear Bertha... CaliforniaPeggy Jul 2013 #2
thanks, Peggy Bertha Venation Jul 2013 #17
Just a question - are you getting enough magnesium? Avalux Jul 2013 #3
I don't know, Avalux Bertha Venation Jul 2013 #18
Watch this, and see if it "speaks to you" marzipanni Jul 2013 #4
I'll definitely ask her about this Bertha Venation Jul 2013 #19
How do you feel emotionally?... Locut0s Jul 2013 #5
Also get vitamin B and Vitamn D levels checked! hedgehog Jul 2013 #7
Oh, my mental state is well documented Bertha Venation Jul 2013 #20
Vibes to you Bertha. applegrove Jul 2013 #6
thank you, applegrove Bertha Venation Jul 2013 #21
Sorry to hear this.... joeybee12 Jul 2013 #8
hi, joeybee12 Bertha Venation Jul 2013 #22
C-PAP user here, so I'm interested in what comes of your tests. No Vested Interest Jul 2013 #9
Thanks, N.V.I. Bertha Venation Jul 2013 #23
Agree with another poster, get your thyroid checked sammytko Jul 2013 #10
Will do, sammytko Bertha Venation Jul 2013 #24
Have you had bloodwork recently? femmocrat Jul 2013 #11
Holy crap Bertha Venation Jul 2013 #25
Been using CPAP for 15 years. MicaelS Jul 2013 #12
Hi, MicaelS. I guess the sleep study will probably reveal Bertha Venation Jul 2013 #26
Glad I could help Bertha. MicaelS Jul 2013 #30
I'm currently taking a three-hour afternoon summer school class, and I've found Lydia Leftcoast Jul 2013 #13
Hi, Lydia Bertha Venation Jul 2013 #27
Instant oatmeal has a much higher glycemic index than slow-cooked oatmeal Lydia Leftcoast Jul 2013 #31
to keep from nodding off while driving Sentath Jul 2013 #14
Ooh, hot & spicy for breakfast! Bertha Venation Jul 2013 #28
Have you had your blood pressure checked? LiberalEsto Jul 2013 #15
BP Bertha Venation Jul 2013 #29
 

magical thyme

(14,881 posts)
1. no practical advice to give, other than eat healthy, get plenty of rest,
Thu Jul 25, 2013, 12:16 PM
Jul 2013

but also try to get exercise, such as walking, to see if that helps you wake up.

This is clearly a medical issue, though. Presumably your doctor will get chemistries and CBC.

Avalux

(35,015 posts)
3. Just a question - are you getting enough magnesium?
Thu Jul 25, 2013, 12:59 PM
Jul 2013

If you don't know, might want to get it checked. Often, people who are fatigued aren't getting enough and need a supplement. About 30% of the population are deficient. It's an easy fix so won't hurt to check!

Bertha Venation

(21,484 posts)
18. I don't know, Avalux
Fri Jul 26, 2013, 08:32 AM
Jul 2013

I will ask my doctor about that when she orders blood work (as she no doubt will). Thanks.

marzipanni

(6,011 posts)
4. Watch this, and see if it "speaks to you"
Thu Jul 25, 2013, 01:31 PM
Jul 2013
http://nahypothyroidism.org/testimonials/

The old "normal" numbers for thyroid level cover a very wide middle range, and the low end of normal isn't necessarily the optimum level for you to feel your best.
People with symptoms such as you describe would do well to go to an endocrinologist who knows this; unfortunately, not all do.

Bertha Venation

(21,484 posts)
19. I'll definitely ask her about this
Fri Jul 26, 2013, 08:38 AM
Jul 2013

I didn't know that normal thyroid tests might not do the trick. Thanks for this, marzipanni.

Locut0s

(6,154 posts)
5. How do you feel emotionally?...
Thu Jul 25, 2013, 01:42 PM
Jul 2013

If you were heavily depressed I think you would realise it but not everyone does, depression can mimic many other conditions. But even mild depression, stress, and anxiety can be exhausting over the long run. I would get a full blood panel as well to check levels of iron, magnesium, thyroid and other blood levels. Otherwise as others said eat well, exercise daily etc... I wish you well I'm sure it's nothing serious.

Bertha Venation

(21,484 posts)
20. Oh, my mental state is well documented
Fri Jul 26, 2013, 08:40 AM
Jul 2013

and controlled by modern pharmaceuticals (which would cost about $1,600/mo. if I didn't have insurance. Can't wait for that donut hole). As for the other things you suggested, my doctor is very thorough. I will take a list of things to her, and she takes each one seriously. Thanks, Locut0s.

No Vested Interest

(5,167 posts)
9. C-PAP user here, so I'm interested in what comes of your tests.
Thu Jul 25, 2013, 04:43 PM
Jul 2013

Luckily for me, mine still helps me have a deep, solid night's sleep, at least for ca 6 hrs., when other physical problems assert themselves (bladder).

I hope your cure is something as simple as those the sleep study tech made.
Best wishes.

sammytko

(2,480 posts)
10. Agree with another poster, get your thyroid checked
Thu Jul 25, 2013, 04:47 PM
Jul 2013

My numbers were in the normal range, but on the low end.

Doctor put me on synthroid anyway. What a difference, weight came off and I had so much more energy and could stay awake all day.

femmocrat

(28,394 posts)
11. Have you had bloodwork recently?
Thu Jul 25, 2013, 05:47 PM
Jul 2013

You could have a deficiency. A sleep specialist might not have checked for that.

I had similar symptoms last year and had a potassium deficiency. It went undetected until I was in the hospital!

Bertha Venation

(21,484 posts)
25. Holy crap
Fri Jul 26, 2013, 08:46 AM
Jul 2013

That put my MIL in the hospital, too. So sorry that happened to you.

My doc will definitely order blood work.

Thanks, femmocrat.

MicaelS

(8,747 posts)
12. Been using CPAP for 15 years.
Thu Jul 25, 2013, 06:04 PM
Jul 2013

After 10 years, wasn't get my proper rest, so I had another sleep study done, and found I needed a pressure increase. You might too. You also need to replace your mask (or at least the mask cushion) and every 6 months, if you did not know that. Check you hoses, you might have a hose leak. Hoses are cheap.

As far as practical suggestions, get some energy bars, and some packs of cheese and crackers. When you start feeling sleepy eat some.

You sound like you could be diabetic.

Bertha Venation

(21,484 posts)
26. Hi, MicaelS. I guess the sleep study will probably reveal
Fri Jul 26, 2013, 08:47 AM
Jul 2013

the CPAP-related things you suggest.

I am diabetic, and have not checked my sugar nor watched my carb intake for years. Thank you for the reminder (seriously).

MicaelS

(8,747 posts)
30. Glad I could help Bertha.
Fri Jul 26, 2013, 11:57 AM
Jul 2013

In case you did not know it, there is a CPAP Forum out there.

http://www.cpaptalk.com

I also recommend http://www.cpap.com/ for supplies if you want to buy them yourself. There are others out there, but this is the one I do business with because they are closest to me.

I also highly recommend http://padacheeks.com for CPAP related comfort supplies. If your mask and strap is uncomfortable you will not want to wear it, and thus you won't get the proper rest.

Lydia Leftcoast

(48,217 posts)
13. I'm currently taking a three-hour afternoon summer school class, and I've found
Thu Jul 25, 2013, 06:42 PM
Jul 2013

that if I have a high-carb lunch, I fall asleep during class. If I eat no carbs (say a soup and salad or an Asian meal with no rice), I don't fall asleep.

This may be at least a minor factor in your case. It's worth a try and certainly won't hurt you.

Bertha Venation

(21,484 posts)
27. Hi, Lydia
Fri Jul 26, 2013, 08:48 AM
Jul 2013

I do have carbs in the morning, but just one packet of plain (no sugar) instant oatmeal. But the same thing happens no matter what I eat for breakfast. But since MicaelS reminded me about my diabetes, I'll be on the lookout better. Thanks.

Lydia Leftcoast

(48,217 posts)
31. Instant oatmeal has a much higher glycemic index than slow-cooked oatmeal
Fri Jul 26, 2013, 07:53 PM
Jul 2013

But yes, you may need your blood sugar levels looked at.

Sentath

(2,243 posts)
14. to keep from nodding off while driving
Thu Jul 25, 2013, 06:49 PM
Jul 2013

My solution for long trips is Hot and Spicy. It seems I have trouble going to sleep while on fire. No idea why that might be ( ;

Bertha Venation

(21,484 posts)
28. Ooh, hot & spicy for breakfast!
Fri Jul 26, 2013, 08:50 AM
Jul 2013

You know, that reminds me of one of my favorite fast food restaurants back home, Del Taco. I could get one of their breakfast burritos and put on some extra hot hot sauce. Good thing (for this purpose) that I'm not living there right now.

Thanks, Sentath.

 

LiberalEsto

(22,845 posts)
15. Have you had your blood pressure checked?
Thu Jul 25, 2013, 07:47 PM
Jul 2013

I had a long bout of fatigue years ago, and the only thing the doctors found was that my blood pressure was low.

When I asked if there was anything I could do about it, they told me just to be thankful, because low blood pressure was wonderful.

This wasn't helpful, because I could hardly function. I pressed them for a solution and all they could say was drink more caffeine and use more salt on food.

The fatigue took a long time to go away, but it finally did.

Good luck dealing with yours!

Bertha Venation

(21,484 posts)
29. BP
Fri Jul 26, 2013, 08:51 AM
Jul 2013

I have high blood pressure and am on meds. One of them causes drowsiness, so I stopped taking it in the morning. No difference.

Thanks, L.E.

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