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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes Under Control, Have Episodes Of Hot Flashes And Sweating, Extreme Cold And Shaking, History Of Complete Hysterectomy. Cause?

I am a diabetic whose blood sugar is under controll. My question is why does my body go from being so hot and sweaty to extreme cold and extreme shaking? The extreme shaking and cold is much worse than it used to be. It is making me miserablt keeps me up at night. I am 62 y.o. and had a complete hysterectomy twelve years ago.
Fri, 17 Aug 2012
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Diabetologist,  's  Response
Hi
Your symptoms point towards a few possibilities-
1.The strongest one being HYPOGLYCEMIA (low blood sugar levels) which manifests as excessive sweating, trembling, palpitation, and increased heart beat.You might have been maintaining a tight sugar control and developing consequent hypoglycemic attacks(a common event in elderly diabetics) or else there is some change in your meal pattern or physical activity.Just to be sure,please record your blood sugar levels at around 3.00 AM or whenever you have the symptoms. If hypoglycemia is documented you should immediately report to your endocrinologist and get your treatment revised.
2.The other (remote) possibilities may be some cardiovascular/cerebrovascular/hormonal disturbance for which you should seek advice of concerned specialists.
Warm regards and best wishes
Dr. RAVINDRA MATHUR
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Diabetes Under Control, Have Episodes Of Hot Flashes And Sweating, Extreme Cold And Shaking, History Of Complete Hysterectomy. Cause?

Hi Your symptoms point towards a few possibilities- 1.The strongest one being HYPOGLYCEMIA (low blood sugar levels) which manifests as excessive sweating, trembling, palpitation, and increased heart beat.You might have been maintaining a tight sugar control and developing consequent hypoglycemic attacks(a common event in elderly diabetics) or else there is some change in your meal pattern or physical activity.Just to be sure,please record your blood sugar levels at around 3.00 AM or whenever you have the symptoms. If hypoglycemia is documented you should immediately report to your endocrinologist and get your treatment revised. 2.The other (remote) possibilities may be some cardiovascular/cerebrovascular/hormonal disturbance for which you should seek advice of concerned specialists. Warm regards and best wishes Dr. RAVINDRA MATHUR