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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes excessive sleepiness while suffering from diabetes?

I am having difficulty staying awake. I sometimes fall asleep during a conversation. I was recently diagnosed with type 2 diabetes and I take trulicity. I have tested my blood sugar when I was having trouble staying awake and it wasn't excessively high or low. Around 130-150 after a meal or 95-115 before a meal. It is happening more often.
Fri, 1 Jun 2018
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Endocrinologist 's  Response
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

You struggle to stay awake during all your daily activities and this means that you have excessive sleepiness.

Your diabetes numbers are "perfect".
This means that Diabetes is not the cause of your problem.

You mention that you take Trulicity or Dulaglutide injections for your diabetes.
This Drug can induce drowsiness as side effect.
So if your symptom began when you started this drug,than it can be the culpit.

If the symptom do not sterted with this medication,than we should search for other potential causes.


Depression or a sleep disorder -- such as restless legs syndrome, sleep apnea, or narcolepsy -- are common causes of problem sleepiness.

I suggest to consult your local doctor to reach the right diagnosis.

Hope this information can point you in the right direction and help you find the treatment that works best for you.

Let me know if i can assit you further.
Take care.
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Endocrinologist Dr. Elona Xhardo's  Response
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Excessive sleepiness is not a common sign of diabetes,especially if you have a well-controlled diabetes.

Excessive slepiness can be caused by some medical conditions like:narcolepsy ,sleep apnea, restless leg syndrome or depression.

Even your Diabetes treatement(trulicity) can cause Drowsiness but in this case the symtom start when you start the treatement.

Anyway,my advice is to consult your physician because it is necessary to do some tests and exams to exclude one by one each of the potential causes and to reach the right diagnosis.

Hope this helps.
Let me know if i can assist you further.


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