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What Causes Severe Fatigue At Morning In A Diabetic Patient?

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Posted on Thu, 16 Jun 2016
Question: I have been experiencing extreme fatigue in the morning but I seem to "perk up" from approx 10:00 am-2:30. Then I feel a wave of fatigue until around 6pm when I find another burst of energy. This is affecting my ability to work as a Social Worker and greatly affecting my life in general. I do have IDDM type II for 25 years and I'm now 53. Should I chalk this up to Diabetes or could it possibly be related to adrenal function? I'm lost at this point.
Thank you for anything you can offer
XXXX


Medications: Humalog 8u am 15u ac supper
Lantus 8u am 104u hs
Metformin 500
Gabapentin 600 qid

Losartin
Atoravastin
Celebrex
Tramadol
Citalopram

doctor
Answered by Dr. Muhammad Hanif (8 hours later)
Brief Answer:
These are related to Diabetes !!!

Detailed Answer:
I welcome you here at HCM-the best health portal at the globe helping countless patients 24/7. Thanks for the consult and your trust in our services.

I have carefully reviewed your case details and can well establish your health issues. These are genuine health issues that you face now a days.

The symptoms you describe seem to be related to diabetes. Actually we need insulin to get the glucose into the tissues and cells of body including resting muscles. This glucose is in abundance in a diabetic patient's blood but can get into the cells of body. That's why a diabetic patient feels fatigued very easily, bouts of loss of energy and life very often and malaise.

Sometimes this is combined with other factors like:
Vit. D and Vit B12 deficiency.
Diabetic neuropathy.
Thyroid disease.
Adrenal gland dysfunction (adrenal and thyroid glands function how the energy flows in our body... So, dysfunction of anyone of these may cause fatigue and symptoms you face.)

Final Suggestion and best next step to take:-
Go for the consultation from dietitian in-person who will make a diabetic food-chart for you according to the taste and choice of foods you have.
Ask your Primary care physician to test you for Vit. B12 and Vit D levels, Thyroid profile test, Lipid profile test, serum cortisol levels, Serum electrolytes to see if there is an abnormality. This can be treated accordingly.
Also your Doctor need to check for your blood sugar control that I am sure you also be very careful about.

((Little correction about the term you used IDDM is Type I not II. Seems to be a typing error.))


Hope it helps. Please ask for more assistance if you need. I am here to help. For future reference simply click on: tinyurl.com/drhanifmd

Regards!
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Muhammad Hanif (4 days later)
Thank you for a clear and concise response. Only 1 issue to clarify-- I have IDDM type II Dx age 27 with prev Dx PCOS plus everyone in my family of origin has diabetes--shallow gene pool
doctor
Answered by Dr. Muhammad Hanif (12 hours later)
Brief Answer:
Yes--diabetes mellitus runs in the families !!!

Detailed Answer:
Welcome back with a follow up query and I appreciate your response. I am always here to help you in the best possible way.

I feel sorry for the issues you have right now. Yes, it may seem to be a shallow end of the gene pool, as diabetes mellitus runs in families and PCOS also has genetic predisposition. Yes you are right in saying that about the genes running in the families.

But there is absolutely no connection between diabetes mellitus and PCOS based on the genetic predisposition

Your symptoms are not unique as all the patients with chronic diabetes, will one day get these symptoms down the road on natural course of the disease.

What you need to do is, just keep a tight blood sugar level control through medication and lifestyle (diet and exercise)...

Hope it helps. Please feel free to ask more questions anytime if needed. If you feel it concludes here please click on Close the Discussion and give your valuable feedback too. For future direct and fast consultations visit: tinyurl.com/drhanifmd

Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
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Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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What Causes Severe Fatigue At Morning In A Diabetic Patient?

Brief Answer: These are related to Diabetes !!! Detailed Answer: I welcome you here at HCM-the best health portal at the globe helping countless patients 24/7. Thanks for the consult and your trust in our services. I have carefully reviewed your case details and can well establish your health issues. These are genuine health issues that you face now a days. The symptoms you describe seem to be related to diabetes. Actually we need insulin to get the glucose into the tissues and cells of body including resting muscles. This glucose is in abundance in a diabetic patient's blood but can get into the cells of body. That's why a diabetic patient feels fatigued very easily, bouts of loss of energy and life very often and malaise. Sometimes this is combined with other factors like: Vit. D and Vit B12 deficiency. Diabetic neuropathy. Thyroid disease. Adrenal gland dysfunction (adrenal and thyroid glands function how the energy flows in our body... So, dysfunction of anyone of these may cause fatigue and symptoms you face.) Final Suggestion and best next step to take:- Go for the consultation from dietitian in-person who will make a diabetic food-chart for you according to the taste and choice of foods you have. Ask your Primary care physician to test you for Vit. B12 and Vit D levels, Thyroid profile test, Lipid profile test, serum cortisol levels, Serum electrolytes to see if there is an abnormality. This can be treated accordingly. Also your Doctor need to check for your blood sugar control that I am sure you also be very careful about. ((Little correction about the term you used IDDM is Type I not II. Seems to be a typing error.)) Hope it helps. Please ask for more assistance if you need. I am here to help. For future reference simply click on: tinyurl.com/drhanifmd Regards!