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Dr. David
Dr. David, Board Certified MD
Category: Endocrinology
Satisfied Customers: 47229
Experience:  Board Certified Physician
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Age 82 , male . weight 13 st. Ht. 58", cardiac infarction

Customer Question

Age 82 , male . weight 13 st. Ht. 5'8", cardiac infarction 30 yrs.ago - by-pass avoided due to well developed collateral blood supply. developed type 2 diabetes 25 years ago - always kept well under control - latter years using Lantus + Novologue Rapide - intake progressively reduced to currently 15 units Novologue only.x 2 daily
Other major operation - successful AAA re-construction 5 years ago
Other condition - Emphysema - medications Spiriva, Ventolin , Serentide of no value
Current problem - intense drowsiness following a meal plus loss of energy and breathlessness - recover after about couple of hours bed rest.
Have cut out bread and wheat related foods - better for it - believe some complications arising from use of insulins and starch foods - Have you any IDEAS ?? Many thanks Brizz`.
Submitted: 3 years ago.
Category: Endocrinology
Expert:  Shantal-Mod replied 3 years ago.
Hello,

I'm Shantal and I'm a moderator for this topic.

We have been working with the Experts to try to help you with your question. Sometimes it may take a bit of time to find the right fit.

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Expert:  Dr. David replied 3 years ago.
This is Dr. David

have you had your thyroid hormone levels checked? low thyroid hormone levels could cause fatigue.

do you have anemia or low iron levels?

after meals, your blood gets diverted and goes to your stomach and bowels to help with digestion and so this can cause fatigue

cutting out pastas and starches and breads and sugars in your diet could help.

your insulin dose could still be too high

are you checking your blood glucose levels when you have these fatigue episodes after meals? you could be having hypoglycemia or low blood sugar levels after meals which can cause fatigue.

what is your hemoglobin a1c level?