Hello! Thank you for asking on HCM! Regarding your concern, your symptoms seem to be related to diabetes complications, like possible diabetic neuropathy and vasculopathy. A careful differential diagnosis with other possible metabolic causes that may mimic this clinical scenario should be performed. Low blood pressure and orthostatic hypotension are usually related to autonomic diabetic neuropathy. I recommend consulting with your endocrinologist and perform a resting ECG and some blood tests like: - complete blood count - fasting glucose - thyroid hormone levels - cortisol plasma levels - HbA1c - kidney and liver function tests - blood electrolytes, etc, to find out the possible causes related to your symptomatology. A head up tilt test is necessary to exclude possible orthostatic hypotension. Meanwhile I advise to take plenty of fluids (water), regulate your diet and a avoid straining physical activity. Hope to have been helpful! Best wishes, Dr. Iliri