I am feeling so tired and run down, no energy at all. What can I do to improve my energy level?
Fatigue can occur for many reasons; high blood glucose levels, stress, sleep apnea, depression, anemia, thyroid problems, overwork, even dehydration. It’s important to have a medical workup to rule out the more obvious causes, such as thyroid conditions or anemia. Once the more obvious reasons have been ruled out, other causes need to be explored. Sleep apnea is very common among people who have diabetes and can cause a lot of daytime fatigue. If you snore, you will want to ask your doctor about a sleep study to rule this out. High blood glucose levels, usually over 180, can also cause fatigue. If your blood glucose levels are high, speak to your practitioner about ways to lower the numbers. If stress is a problem, make sure you are not overscheduling yourself. Set aside time every day for activities you enjoy, and make sure to get at least 8 hours of sleep a night. Eating well and increasing your physical activity can do a lot to boost energy. Depression is twice as common in people with diabetes, and fatigue can be a sign of depression. An anti-depressant medication may help if you think you are depressed. Most importantly, let your doctor know how you are feeling and make sure a workup is done to rule out any underlying physical issues.