Conversation: The conversation between human and AI assistant.
[|Human|] Sir/Madam My mother aged 79 has had high blood pressure and diabetes since 25-30 years. She is on low dosage insulin once a day for diabetes. She is also taking several blood pressure medicines. Her blood pressure has been fluctuating a lot the last few weeks. She also has symptoms like fatique, sweating, shivering and weakness. How should her problem be treated? She has had a general check up for heart and kidney functioning...all this is clear. How should she deal with these symptoms. Are the medicines not working? or are they side effects of the drugs she is taking? Please advise.
[|AI|]  Hi dear user have gone through your question. I can understand your concern. Fatigue, sweating, weakness can be symptoms of hypoglycemia. Hypoglicemia is more frequent in older diabetics with insulin. Shivering may be due to fever caused by infection. My advice is to do some fasting and random measurements of blood glucose with glucometer and to consult an endocrinologist because your mother may need to adjust the dose of insulin accordingly to glycemic results. I suggest doing the blood panel(especially white blood cells)to see if there is any infection that cause shivering and then to meet your GP for the right diagnose and treatment. If your mothers blood pressure is not balanced with several antihypertensive Chat Doctor.