Conversation: The conversation between human and AI assistant.
[|Human|] My wife, 58 YO, caucasian, post-menopausal, hx of cryptococcal meningitis w/ shunts, atrial flutter w/ ablation and cardioversion, moderately-well-controlled type II diabetes, says she feels cold inside but warm, almost flushed outside but only immediately after eating.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that these symptoms could be related to different causes: - sexual hormone changes due to menopause-autonomic neuropathy related to diabetes. I would recommend you to closely monitor her blood pressure in sitting and standing up position. A head up tilt test would be necessary to examine for possible orthostatic hypotension which is a part of autonomic neuropathy. A nerve conduction study would also help investigate for diabetic neuropathy. I would recommend avoiding eating in large meals and eating frequently during the day in small meals. Avoiding hypercaloric food would also help avoid these symptoms. Hope you will find this answer helpful! Kind regards,