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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness Along With Disorientation And Sleep Disturbance?

Hi just a question.I been sleeping really weird the last few nights...I sleep a couple hours then wake up sitting on the edge of my bed,I get up go to the bathroom and then go back to bed but its some times an hour or more before I finealy go back to sleep.Iam type 2 diabetic,got that nerve shit in my whole body(I get the pains in my head my feet and every where in between,so any way I woke up today and Im feeling dizzy and disoriented,I cant sit stillmy body just keeps moving around while Im sitting here typing this and my back really hurts bad down in the lower.They also said that I have degenerative disc disease in the lumbar spine
Fri, 28 Aug 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You have mentioned two issues in your query. One is poor sleep with multiple awakening in night. Second is diabetes and its related complications. The persistent neuropathic pain is preventing you to sleep sound. First thing I'd advise you to get your sugar levels checked along with HbA1c levels. These levels will provide control over long term sugar levels and if these levels come in abnormal values then visit a doctor for treatment.

For poor sleep and neuropathic pain visit a neuropsychiatrist. Medicines like Gabapentine or Pregabalin can be utilised for sleep as well as neuropathic pain. High doses of these medicines will reduce pain and will provide sound sleep. If even with these medicines sleep doesn't improve then low dose benzodiazepines or Z drugs can be used for sleep. Drugs like Clonazepam, Diazepam or long acting Zolpidem etc can be used for proper refreshing sound sleep. Please consult a psychiatrist for evaluation and help.

Thanks, Hope this helps you. Take care

Dr. Seikhoo Bishnoi,
Psychiatrist.
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What Causes Dizziness Along With Disorientation And Sleep Disturbance?

Hello thanks for asking from HCM for your health related queries I can understand your concern. You have mentioned two issues in your query. One is poor sleep with multiple awakening in night. Second is diabetes and its related complications. The persistent neuropathic pain is preventing you to sleep sound. First thing I d advise you to get your sugar levels checked along with HbA1c levels. These levels will provide control over long term sugar levels and if these levels come in abnormal values then visit a doctor for treatment. For poor sleep and neuropathic pain visit a neuropsychiatrist. Medicines like Gabapentine or Pregabalin can be utilised for sleep as well as neuropathic pain. High doses of these medicines will reduce pain and will provide sound sleep. If even with these medicines sleep doesn t improve then low dose benzodiazepines or Z drugs can be used for sleep. Drugs like Clonazepam, Diazepam or long acting Zolpidem etc can be used for proper refreshing sound sleep. Please consult a psychiatrist for evaluation and help. Thanks, Hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.