Brief Answer:
Monitoring of blood pressure&sugar levels advised;diuretics to add...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

You are reporting to be a diabetic with high blood pressure, currently taking medications for both.

For the moment, you are having a feeling of a head rush/blood rush going into your and tingling in your arm and fingers and feet with a slight pressure in your head at the moment you try to move your side (when going to sleep).

As per your doctor's saying, this was related to diabetes.

Now, let me explain you a few things:

a. you are saying that you are doing good efforts in maintaining your blood sugar levels (bsl) within normal range. And from the figures you are reporting, that's true.

However, please bare in mind that bsl do fluctuate depending on various factors:
- food you eat
- stress
- physical activity, etc

When trying to move your side while going to sleep, that's considered a "slight" physical activity from your body; which of course requires more "sugar". This is felt as a blood rush into your head from your body as bsl might have been raised at that particular moment.

Furthermore, you get stressed by feeling this head rush; which is also affecting your blood sugar levels too the same way.

b. During sleep, bsl itself might fluctuate depending on the food you consumed at dinner and the medications you take and how effective they are. This fluctuation is also felt as a head rush from your part.

c. Diabetic neuropathy is a common condition among diabetics. It might affect all the nerves of your body including those of extremities. This explains why you feel tingling in your arm, fingers and feet.

A more thorough evaluation by neurologist is advised. I also recommend to take some supplements containing magnesium, fish oil and B complex vitamins (B1, B6, B12).

d. As you are also having high blood pressure, fluctuation in bp might be also another possible cause as you try to move aside and while being stressed due the episodes of head rush. I am happy that all your cardiac tests resulted ok. That is excluding any cardio-vascular event.

However, Atenolol itself I think is not enough to optimize your blood pressure. I advise to measure your bp at bedtime and once you wake up, record the results to refer to your doctor. Based on the average results, another medication might be added (e.g. diuretic in the morning).

Hope it was of help! Let me know if you need further assistance!
Dr.Albana

---