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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experience Chest Pains While Walking, Running Along With Fatigue. Is It Angina? Taking Insulin, Metformin, Losartan

for the last several months, I have experienced chest pains with walking/running along with fatigue every day. my research shows that it is angina...am I on the right track? 64 yo male, diabetic 160 insulin units/day, metformin, bp med (losartan) also a prostate med...I just can't shake the fatigue and lack of energy...any ideas
Tue, 29 Oct 2013
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Pulmonologist 's  Response
If your diabetes is not under control it can itself cause a fatigue due to lack of energy
Also metformin cause a lot of lactic acid build up causing bloating and cramps sometimes
Thirdly it can be angina as you are diabetic and on insulin there can be a risk of atherosclerosis in the arteries of the heart and diabetic cardiomyopathy
See a heart specialist and get a 2d echo done or stress test to rule out things
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Experience Chest Pains While Walking, Running Along With Fatigue. Is It Angina? Taking Insulin, Metformin, Losartan

If your diabetes is not under control it can itself cause a fatigue due to lack of energy Also metformin cause a lot of lactic acid build up causing bloating and cramps sometimes Thirdly it can be angina as you are diabetic and on insulin there can be a risk of atherosclerosis in the arteries of the heart and diabetic cardiomyopathy See a heart specialist and get a 2d echo done or stress test to rule out things