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What causes narcolepsy, anorexia and excessive thirst in a diabetic patient?

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Posted on Wed, 11 May 2016
Question: My husband has high blood pressure and diabetes, lately his blood pressure has been like 102/50 and his blood sugar is 52, he just checked it. He has been falling asleep instantly, no appetite, real thirsty at times. I have tried to get him to go to the hospital but he will not. What could I be expecting and what should I tell him to get him to go to the hospital?
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Answered by Dr. Ilir Sharka (45 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that his fasting blood glucose values are really low and he can get into coma if this situation persists or even progresses (hypoglycemic coma). His blood pressure values are low too.

I recommend consulting with his attending physician as soon as possible and performing some tests:

- fasting glucose and HbA1C
- blood electrolytes (for possible electrolyte imbalance)
- thyroid hormone levels (for possible thyroid dysfunction)
- cortisol plasma levels (to exclude possible adrenal gland dysfunction)
- kidney and liver function tests.

You should discuss with his doctor on the possibility of making some changes to his actual therapy (reduce the anti hypertensive drugs doses and diabetes therapy doses).

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8280 Questions

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What causes narcolepsy, anorexia and excessive thirst in a diabetic patient?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that his fasting blood glucose values are really low and he can get into coma if this situation persists or even progresses (hypoglycemic coma). His blood pressure values are low too. I recommend consulting with his attending physician as soon as possible and performing some tests: - fasting glucose and HbA1C - blood electrolytes (for possible electrolyte imbalance) - thyroid hormone levels (for possible thyroid dysfunction) - cortisol plasma levels (to exclude possible adrenal gland dysfunction) - kidney and liver function tests. You should discuss with his doctor on the possibility of making some changes to his actual therapy (reduce the anti hypertensive drugs doses and diabetes therapy doses). Hope you will find this answer helpful! Kind regards, Dr. Iliri