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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue And Insomnia While Having Pernicious Anemia, Diabetes And Heart Murmur?

Hi I have pernicious anemia,diabetes and heart murmur. I feel very tired most of the time. also. I don.t sleep at night an then need to sleep in the day, What can I do about extreme fatigue and lack of sleep at night. I take b12 shots for the anemia. Not on medicine at this time for diabetes. last a1c 9 and glucose 200. Help I don t function well. I have red circles under my eyes and don t know the cause of YYYY@YYYY ..
Tue, 12 Feb 2019
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General & Family Physician,  's  Response
Hello,

I think your diagnosis is very clear:
- altogether: anemia, diabetes, heart murmur (I think you might have arrhythmia problems) they are causing you to be very tired and not to function well.

The solution is also clear:
- once you stabilize your blood sugar levels, bring the iron or hemoglobin or vitamin b12 back to normal again; you will start feeling better.
- plus should check what the cause for this heart murmur is and how to treat it: whether you need medications only or any surgical intervention.

If you have started to take any blood thinning medication, then, this might be the cause for any loss of blood you might be facing.

Discuss this further with your caring doctor.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Albana Sejdini, General & Family Physician
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What Causes Fatigue And Insomnia While Having Pernicious Anemia, Diabetes And Heart Murmur?

Hello, I think your diagnosis is very clear: - altogether: anemia, diabetes, heart murmur (I think you might have arrhythmia problems) they are causing you to be very tired and not to function well. The solution is also clear: - once you stabilize your blood sugar levels, bring the iron or hemoglobin or vitamin b12 back to normal again; you will start feeling better. - plus should check what the cause for this heart murmur is and how to treat it: whether you need medications only or any surgical intervention. If you have started to take any blood thinning medication, then, this might be the cause for any loss of blood you might be facing. Discuss this further with your caring doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician