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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Fatigue,sweating,shivering And Weakness Due To High BP?

Sir/Madam My mother aged 79 has had high blood pressure and diabetes since 25-30 years. She is on low dosage insulin once a day for diabetes. She is also taking several blood pressure medicines. Her blood pressure has been fluctuating a lot the last few weeks. She also has symptoms like fatique, sweating, shivering and weakness. How should her problem be treated? She has had a general check up for heart and kidney functioning...all this is clear. How should she deal with these symptoms. Are the medicines not working? or are they side effects of the drugs she is taking? Please advise.
Thu, 3 Nov 2016
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Emergency Medicine Specialist,  's  Response
Hi dear user
I have gone through your question.
I can understand your concern.

Fatigue ,sweating,weakness can be symptoms of hypoglicemia.Hypoglicemia is more frequent in older diabetics with insulin.Shivering may be due to fever caused by infection.

My advice is to do some fasting and random measurements of blood glucose with glocometer and to consult an endocrinologist because your mother may need to adjust the dose of insuline accordingly to glicemic results.

I suggest to do the blood panel(expecially white blood cells)to see if there is any infection that cause shivering and than to meet your GP for the right diagnose and treatement.

If your mother's blood pressure is not balanced with several antihypertensive drugs this means that the drug are not working and she need to consult a cardiologist to adjust the dose or maybe to give another treatement for her high blood pressure.

Hope I have answered your question. If you have any further questions I will be happy to help.
Thank you for using HCM.
Wish you good health.
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Suggest Medication For Fatigue,sweating,shivering And Weakness Due To High BP?

Hi dear user I have gone through your question. I can understand your concern. Fatigue ,sweating,weakness can be symptoms of hypoglicemia.Hypoglicemia is more frequent in older diabetics with insulin.Shivering may be due to fever caused by infection. My advice is to do some fasting and random measurements of blood glucose with glocometer and to consult an endocrinologist because your mother may need to adjust the dose of insuline accordingly to glicemic results. I suggest to do the blood panel(expecially white blood cells)to see if there is any infection that cause shivering and than to meet your GP for the right diagnose and treatement. If your mother s blood pressure is not balanced with several antihypertensive drugs this means that the drug are not working and she need to consult a cardiologist to adjust the dose or maybe to give another treatement for her high blood pressure. Hope I have answered your question. If you have any further questions I will be happy to help. Thank you for using HCM. Wish you good health.