Conversation: The conversation between human and AI assistant.
[|Human|] hi my mother is 50 year old and she have a diabetes from last 15 year but few days ago my mother have problem that she feel that heart is shivering very fast and i met to doctor and done some test blood sugar is 281 mgl and blood urea is 52 mgl and urine have pus cell 4 mgl and epithelial cell 2 mgl and she take medicine Zart-H and gloconorm PG2 so please doctors tell me what i should od
[|AI|]  Hello, This can be an autonomic instability which can occur in diabetes, cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. She will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.