Conversation: The conversation between human and AI assistant.
[|Human|] I am weak and shaky a lot, not cold nor undernourished. Also, I do not have a fever. My sugar levels seem to be good. When I reach to pick up something, sometimes I knock it over or drop it after picking it up. My sleep apnea is being treated and my c-pap machine was just updated by the doctor with the amount of pressure he recommends. The shaking had started before this change, however.
[|AI|]  Hello ! I read carefully your question and understand your concern. I would like to know your age and if you have a family history for tremor. There are different causes of tremor. As far as I understand from your description, yours is an intentional tremor, which gets worse when you try to reach for the target. In a young patient I would think about a metabolic cause like hyperthyroidism. While in older patients I would think about essential tremor, a degenerative disease or a stroke. But the gradual beginning of your tremor rules out a possible stroke. A positive family history for tremor would be in favor of essential tremor diagnosis. Sleep apnea can cause tremor in the hands during the day, but it would improve with the good treatment of apnea. So I would recommend you to consult with the neurologist and have a full blood work and the thyroid function tests. A brain MRI may be helpful if the above tests result normal. Hope to have been of help! Greetings!