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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Fatigue In An Insulin Dependent Diabetic Person?

I feel sick and weak all the time, I keep sweating even with the air conditioner on. I can t keep any food in my stomach. I am diabetic type 2 but on insulin. Some days I just feel so weak that I can t do anything. I also have discs gone in my back I have had surgery on the lower back L4 L5S1 and now the discs above have deteriorated and am on the list at the RBWH to see a neurosurgeon. I can t stand for too long and spend most of my time in bed
Wed, 18 Jan 2017
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Diabetologist,  's  Response
Hi,

If you are a diabetic and on Insulin, then main reason for feeling sick and weak is most likely due to uncontrolled hyperglycemia. Because if blood glucose is high, a lot of it is excreted through urine, making the person weak and even loose weight. Further if you are most often bed ridden, then that can also add to hyperglycemia due to non exercise and to weakness. Therefore, it is absolutely essential to achieve a very strict blood glucose control with fasting glucose closer to 100 mg, PP 160 to 170 mg and HbA1c%
Hope I have answered your query. Let me know if I can assist you further.

Thanks,
Dr. Prabhakar Laxman Jathar
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What Causes Chronic Fatigue In An Insulin Dependent Diabetic Person?

Hi, If you are a diabetic and on Insulin, then main reason for feeling sick and weak is most likely due to uncontrolled hyperglycemia. Because if blood glucose is high, a lot of it is excreted through urine, making the person weak and even loose weight. Further if you are most often bed ridden, then that can also add to hyperglycemia due to non exercise and to weakness. Therefore, it is absolutely essential to achieve a very strict blood glucose control with fasting glucose closer to 100 mg, PP 160 to 170 mg and HbA1c% Hope I have answered your query. Let me know if I can assist you further. Thanks, Dr. Prabhakar Laxman Jathar