Dizziness: Diabetes Symptoms and Stroke Risks

Dizziness

What are the symptoms of diabetes, doctor? Can it lead to slightly elevated blood pressure? I previously had a health check and did not find any signs of diabetes.
Could it be that not eating fruit for a long time is causing my dizziness? Or is it possible that it could be a sign of a stroke? I kindly ask for your response, doctor.

Xiao Bai, 20~29 year old female. Ask Date: 2008/08/22

Dr. Lin Zijing reply Neurology

The early stages of diabetes are asymptomatic, and by the time symptoms such as increased thirst, excessive urination, and increased appetite appear, the condition is already at a moderate to advanced stage.
Diabetes does not have a direct relationship with hypertension; however, metabolic syndrome encompasses both diabetes and hypertension.
A diagnosis of metabolic syndrome can be made if three out of the following five criteria are met: 1.
Waist circumference greater than 90 cm in men and greater than 80 cm in women; 2.
Fasting blood glucose greater than or equal to 110 mg/dL; 3.
Fasting triglycerides greater than or equal to 150 mg/dL; 4.
Fasting high-density lipoprotein (HDL) cholesterol less than 40 mg/dL; 5.
Hypertension greater than 130/85 mmHg.
If previous tests did not indicate diabetes, then dizziness is unlikely related to hyperglycemia, and not consuming fruits for a long time would not cause such symptoms.
As for stroke warning signs, they are actually symptoms of a transient ischemic attack (TIA), such as sudden speech difficulties, blurred vision, temporary numbness or weakness in a limb, dizziness, unsteady gait, confusion, high blood pressure, and choking while eating or drinking, often occurring in combination.
If there are warning signs of a stroke and no treatment is received, it is rare for these symptoms to occur intermittently without progressing to a sustained stroke, and they are not solely related to fruit consumption.
You may be overthinking the situation regarding the stroke.

Reply Date: 2008/08/22

More Info

Diabetes is a chronic metabolic disorder characterized by high blood sugar levels due to insufficient insulin production, insulin resistance, or both. The symptoms of diabetes can vary depending on the type and severity of the condition, but common symptoms include excessive thirst (polydipsia), frequent urination (polyuria), increased hunger (polyphagia), fatigue, blurred vision, and unexplained weight loss. In some cases, individuals may experience dizziness or lightheadedness, particularly if their blood sugar levels fluctuate significantly.

Dizziness can be a symptom of both high and low blood sugar levels. In the context of diabetes, hypoglycemia (low blood sugar) can lead to symptoms such as dizziness, confusion, sweating, and palpitations. Conversely, hyperglycemia (high blood sugar) can also cause dizziness, especially if it leads to dehydration or other complications. It's important to monitor blood sugar levels regularly, as both extremes can have serious health implications.

Regarding your question about blood pressure, diabetes is often associated with hypertension (high blood pressure). The relationship between diabetes and high blood pressure is complex and can be influenced by various factors, including obesity, physical inactivity, and dietary habits. Chronic high blood sugar can damage blood vessels and lead to cardiovascular complications, which may contribute to elevated blood pressure over time.

If you have not been diagnosed with diabetes but are experiencing symptoms such as dizziness, it is essential to consider other potential causes. Dizziness can result from dehydration, low blood sugar due to prolonged fasting or inadequate nutrition, or even anxiety and stress. Additionally, dizziness can be a warning sign of more serious conditions, including a transient ischemic attack (TIA) or stroke, especially if accompanied by other neurological symptoms such as weakness, slurred speech, or visual disturbances.

To address your concerns, it would be prudent to consult with a healthcare professional who can perform a thorough evaluation, including blood tests to check your blood sugar levels and assess your overall health. They may also recommend lifestyle changes, such as a balanced diet rich in fruits and vegetables, regular physical activity, and stress management techniques, to help maintain stable blood sugar levels and overall well-being.

In summary, while dizziness can be related to diabetes, it is essential to consider a comprehensive approach to your health. Regular check-ups, monitoring of blood sugar levels, and maintaining a healthy lifestyle can help mitigate risks associated with diabetes and its complications. If you have concerns about your symptoms or family history of diabetes, discussing them with your healthcare provider is the best course of action.

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