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Spouse Fatigues Quickly When Walking Relatively Short Distances.. Complains Of
Question: Spouse fatigues quickly when walking relatively short distances.. Complains of being tired and needing a nap by mid afternoon.
We have been married 50 years and these conditions have evolved during the past 5 years. Spouse is T-2 but keeps A1C at 7+/-.
Medications include low dose statins, metformin, losartin ...
We have been married 50 years and these conditions have evolved during the past 5 years. Spouse is T-2 but keeps A1C at 7+/-.
Medications include low dose statins, metformin, losartin ...
Brief Answer:
I would epxlain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would explain that your spouse's clinical symptomatology could be relate to several issues that need to be further investigated:
- heart failure is a clinical condition that is not rarely found in diabetic patients; hypertension and coronary artery disease that are frequently found in diabetics could lead to cardiac performance impairment manifested clinically with fatigue, breathing issues and limb edema.
- In addition, blood glucose level fluctuation in diabetes my happen after meals and lead to fatigue, drowsiness.
- Other health issues like anemia, chronic pulmonary disease may be potential causes too.
Coming to this point, I would recommend you to discuss with your spouse about the importance of a careful differential diagnosis and would encourage consulting her internist that these clinical condition may be properly controlled under the doctor supervision.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
I would epxlain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your concern and would explain that your spouse's clinical symptomatology could be relate to several issues that need to be further investigated:
- heart failure is a clinical condition that is not rarely found in diabetic patients; hypertension and coronary artery disease that are frequently found in diabetics could lead to cardiac performance impairment manifested clinically with fatigue, breathing issues and limb edema.
- In addition, blood glucose level fluctuation in diabetes my happen after meals and lead to fatigue, drowsiness.
- Other health issues like anemia, chronic pulmonary disease may be potential causes too.
Coming to this point, I would recommend you to discuss with your spouse about the importance of a careful differential diagnosis and would encourage consulting her internist that these clinical condition may be properly controlled under the doctor supervision.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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