Conversation: The conversation between human and AI assistant.
[|Human|] Hello this morning I had really bad shakes I felt sick and dizzy. Managed to get strength to go to work and they made me eat chocolate to bring up sugar levels. Nearer the end of the day I got pins and needles down my left arm . I spoke to my dr before the pins and needles and he said to have a blood test which ive booked for monday! This scares me incase its diabetes or anemia. My mum s mum is diabetic and so is my dads dads? Im 18 by the way
[|AI|]  Pins and needle sensation is paresthesia .it is caused by many causes. Mostly occurs due to decreased blood supply transiently .it may be due to compression of the blood vessel, or metabolic. If u have had a good mattress/sleep than compression is ruled out. So it can be metabolic, it can be type 1 diabetes, at your age, but it manifests early in childhood. Mody can occur at your age given history. But, simple blood test can rule out this disease. The possibility of other metabolic conditions is more likely given acute onset. It can be hyperkalemia, or hypokalemia where paresthesia is common.Also, it could be any pathology in cervical vertebral region. So an MRI can rule it out. Metabolic conditions can be diagnosed by blood testing.