What Causes Weakness And Lethargy During Mornings And Late Evenings?

Posted on Wed, 24 Jun 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 24 Jun 2015 Answered on

Tue, 14 Jul 2015 Last reviewed on

Question : I feel very weak & lethargic especially during mornings & late evenings. Also I feel I don't have enough strength in my legs.

Answered by Dr. Ajish TP (7 hours later)

Brief Answer:
Please get yourselves evaluated

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

Your symptoms of leg pain and fatigue is not specific for any particular disease. You need to get your blood tests done to see if you have any disease that needs treatment.

The usual tests that we do are compete blood count ( to look for anemia), thyroid function tests, CPK, calcium profile, electrolytes, vitamin D and B12, lipid profile, liver and kidney function tests etc.

Your fasting sugars is high, especially at your age. Normal fasting sugars is less than 100 mg/ dl. Please do an HbA1c to see if you have diabetes or ore diabetes.

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (29 minutes later)

I recently got the HbA1c tested and the result was 6.96. My doctor said it was pre-diabetes and suggested that I start on Metformin. Before I do so, I wanted to check if:
1. I should start on the tablet?
2. What are the long term side effects of this medicine?
3. Does it develop into a dependency?

Answered by Dr. Ajish TP (8 minutes later)

Brief Answer:
Diabetes, start On Metformin

Detailed Answer:
Hi,

Wcome back.

HbA1c of 6.9 is not pre diabetes - it is diabetes. ( HbA1c 5.7-6.4 is prediabetes and over and above 6.5 is diabetes)

1. You should start on medications after a trial of diet and exercise for 3 months. It is better to start medications early in diabetes.

2. Metformin is a relatively safe drug. Long term complications are B12 vitamin deficiency, gastritis, and very rarely lactic acidosis (increased acid level in blood)

3. It won't cause dependency.

Regards

Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (11 minutes later)

Thank you very much doctor. Just one last thing. Do you think the feeling of tiredness could be related to diabetes?

Thanks
XXXXX

Answered by Dr. Ajish TP (27 minutes later)

Brief Answer:
It could be due to that

Detailed Answer:
Hi,

Welcome back.

Tiredness could be due to diabetes - ( due to fluctuating blood levels) or due to vitamin deficiencies if you are on strict diet restrictions for diabetes.

Wishing you good health

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar