“People who have a healthy lifestyle - who exercise every day, eat well, drink a lot of water, and take their medications properly - tend to feel well,” says Zonszein. To reduce fatigue and your risk of other symptoms and complications, it’s important to work with your health care team to make sure you’re properly managing your diabetes and any co-morbid conditions - and that includes making healthy lifestyle choices. Often neglected are psychological factors, such as depression or feeling overwhelmed by their diagnosis or complexity of medical care, that can contribute greatly to feeling “low energy.” People with diabetes who neglect their health because of fatigue and other symptoms put themselves at greater risk of developing complications, according to a review of literature focused on diabetes-related fatigue that was published in the July 2010 issue of the Journal of Psychosomatic Research. Type 2 diabetes is a complex disease that is associated with numerous co-morbidities, including obesity, high cholesterol, high blood pressure, and high blood sugar. Medications should also be reviewed, as fatigue can be a side effect in some, especially those used to control blood pressure like beta blockers. “A sluggish thyroid together with diabetes can be another cause,” says Zonszein. People with diabetes are at increased risk for thyroid diseases, especially hypothyroidism. He will also check the thyroid hormone level. Anemia is not caused by diabetes, but it frequently occurs in people with diabetes and is a common cause of fatigue. When fatigue is a concern, Zonszein will also screen for anemia. “Abnormalities in these organs can also cause fatigue,” he says. Zonszein explains that when people have had type 2 diabetes for a long time, they can develop damage in their kidneys, heart, and liver. Underlying conditions and diabetes-related complications are additional factors that can contribute to tiredness. The fatigue, in part, comes from the dehydration,” he says. “Some people - especially the elderly - get dehydrated because their blood sugars are so high. Zonszein notes that high blood glucose isn’t the only cause. ![]() With type 2 diabetes, poor blood sugar control typically results in hyperglycemia or high blood sugar, which can cause fatigue among other symptoms. However, the most common cause, by far, is uncontrolled blood glucose, says Joel Zonszein, MD, director of the Clinical Diabetes Center at the University Hospital of the Albert Einstein College of Medicine, Montefiore Health System in the Bronx, New York. Simply managing diabetes on a daily basis can zap your energy from time to time. There are many possible causes, including everything from diabetes-related complications to underlying conditions. Fatigue is a symptom that’s often associated with the condition. If you have type 2 diabetes and you’re feeling tired, you’re not alone.
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