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Suggest Treatment For Persistent Dizziness And Fatigue In A Diabetic

Posted on Wed, 21 Sep 2016

Question: I've been very dizzy and have had extreme fatigue for the past 3 weeks. I did go to my family doctor last week and I'm waiting for blood work results. I brought up the laundry from the basement today and had to lay down to rest and when I'm at work I can barely function. I've had Type 2 Diabetes for the past 6 years and nothing like this have every happened before. I just turned 60. I'm really getting concerned since I'm adopted and don't know my medical history.

Answered by Dr. Rajesh Teli (33 minutes later)

Brief Answer:
please go for complete evaluation

Detailed Answer:
Hello,
I am Dr.Rajesh Teli,MD.
I have gone through your query.Thanks for using HCM.
I need to get information of your reports of blood and other investigations to guide you for your dizzyness and fatigue.
I suggest you the following things
1.please check your fasting and post meal blood sugar along with HBA1C.Fasting must remain between 100 and 110,Post meal below 180 and HBA!C must remain below 7%.You should inform me about your medications so i may suggest some addition or alteration if needed.
2.Please get your lipid profile and kidney functions checked.
3.Get your Electrocardiogram done,
4.please let me know about your menstrual history,Habits and level of blood pressure
Meanwhile you should take multivitamin,mineral and antioxidant preparation along with your regular medicines,
once i get your feed back i shall be able to guide you properly,
My best wishes
Dr.Teli.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rajesh Teli (12 minutes later)

I had a hysterectomy in 1996 and have already been through menopause. I check my sugar twice a day and my latest A1C level was 7. This all began 2 weeks after I had this checked. Also my blood pressure was checked at the doctors and it was 140/80. He also said my heart was strong and lungs were clear. I do take a multivitamin everyday along with Prevacid and Reglan for a stomach problem I have had for 10 years (I start vomiting for no reason) and have been under a doctor's care for this. They have done every test they can but have not found the problem.

Answered by Dr. Rajesh Teli (7 minutes later)

Brief Answer:
you need further work up

Detailed Answer:
Hello,
Thanks for providing prompt information.
I understand that your sugar is under good control.
I would request you to go for further work up for your stomach problem.Taking Prevacid and Reglan for 10 years is too lengthy a period.I suggest you to get Ultra sound of upper abdomen and if needed Upper GI endoscopy.
Please get your exercise cardiac stress test done.sometimes extreme fatigue may be symptom of heart disease in diabetic.
please check Xray of Cervical spine to rule out spondylosis as cause of your dizziness.
Please give up smoking or alcohol if at all you are consuming,
my best wishes
Dr.Teli.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rajesh Teli (55 minutes later)

As far as my stomach problems I've been to 3 specialists and they have done every test including ultra sound of upper abdomen and 3 endoscopys. Every test they have run have come back negative. I have another appointment with the specialist on Sept. 28. I did have a cervical spine x-ray last year when I couldn't move my neck and it came back that I have arthritis not only of the neck but also of the spine. I don't drink alcohol and I am trying to quit smoking. Thank you for the advise.

Answered by Dr. Rajesh Teli (10 minutes later)

Brief Answer:
you need life style changes

Detailed Answer:
hello XXXXXXX
I have gone through your detail.looking at your history and details I feel apart from your physical ailments like diabetes you have some stress related issue as well.First of all you must avoid smoking totally.secondly try to focus on your daily schedule you must exercise,try to practice yoga and meditation which will help you discontinue Prevacid and Reglan.Do you have ankylosing spondylitis ?
please get your TMT done,
I am sure positive and spiritual approach towards physical ailments with proper medical guidance will solve all your problems,
My best wishes
Dr.Teli.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng