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Diabetic, High Blood Pressure, Severe Sleep Apnea On CPAP. Should I Be Serious?

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Posted on Mon, 11 Nov 2013
Question: Diabetic, history of ONE TIA, high blood pressure, rt leg disaticulation of knee; severe sleep apnea on CPAP. Since Thurs 10/17 has slept all day and all night and is sleeping now; only wakes to urinate and drink some water. Seems not to know how to do the simplest of things; I asked him to lay his head down since he was sitting up sleeping and he did not know exactly how to do so...i had to show him what I meant; cannot hold on to a glass, it just drops, I'm worried something is very wrong but he is vet and hates the va, which is our only medical for him...any ideas if need to call an ambulance or just force him to go.
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Answered by Dr. Dr. Shruti Rijhwani (35 minutes later)
Brief Answer:
Follows.

Detailed Answer:
Dear Sir,

Thank you for posting your query on XXXXXXX

Well looking into the problem I will suggest you that regarding the patient you are talking about , he is having a lot of comorbidities that is in his present situation many factors will be playing a role thus to individually point out one disease will be impossible .

In my opinion he needs to be taken urgently to the hospital and all his vitals need to monitored . There is a very likely possibilty of CO2 narcosis as he is confused and has problems of sleep apnoea . Possibilty of hypoglycemia also exists .

But all these require physical examination and determination of his status . So. in my opinion he should receive medical care at the earliest .

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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Diabetic, High Blood Pressure, Severe Sleep Apnea On CPAP. Should I Be Serious?

Brief Answer:
Follows.

Detailed Answer:
Dear Sir,

Thank you for posting your query on XXXXXXX

Well looking into the problem I will suggest you that regarding the patient you are talking about , he is having a lot of comorbidities that is in his present situation many factors will be playing a role thus to individually point out one disease will be impossible .

In my opinion he needs to be taken urgently to the hospital and all his vitals need to monitored . There is a very likely possibilty of CO2 narcosis as he is confused and has problems of sleep apnoea . Possibilty of hypoglycemia also exists .

But all these require physical examination and determination of his status . So. in my opinion he should receive medical care at the earliest .

Take care.

Dr. Shruti