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Does Hypoglycemia Cause Severe Fatigue?

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Posted on Mon, 18 Jul 2016
Question: I'm having horrible afternoon sinking spells, I'm under extreme stress, my husband is dying of Alzheimer's is now in hospice off his feeding tube it's been over 3 weeks now, I was diagnosed years ago with hypoglycemia, could that be it?
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Answered by Dr. Shehzad Topiwala (29 minutes later)
Brief Answer:
Glucose levels

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Next time you feel off, please check your blood glucose levels with a fingerstick check using a glucose monitoring device. If the reading is less than 70 it is possible you have low glucose reactions called hypoglycemia.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Does Hypoglycemia Cause Severe Fatigue?

Brief Answer: Glucose levels Detailed Answer: Sorry to learn about your bothersome symptoms. Next time you feel off, please check your blood glucose levels with a fingerstick check using a glucose monitoring device. If the reading is less than 70 it is possible you have low glucose reactions called hypoglycemia. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day