<s>[INST] sir i am diabetic paitent age 63 yrs from last 15 days i am felling exerted, also get exhausted and feeling tierd and body get sweeting while some physical activity such as walking , also done ecg and 2d echo from cardiologist ,report not showing any abnormalities ,what should i do now, [/INST] Hello!Welcome and thank you for asking on HCM!I understand your concern, and would explain that your symptoms may be related to a autonomic neuropathy. Have you measured your blood pressure lately? A low blood pressure or orthostatic hypotension could explain this clinical scenario. I recommend consulting with your GP for a careful physical examination, a chest x ray and some blood lab tests :- complete blood count ( for chronic anemia or a chronic infection). - HbA1C (to identify the mean blood glucose values of the last 3 months)- fasting glucose- kidney and liver function tests - thyroid hormone levels ( a thyroid dysfunction could also mimic these symptoms)- cortisol plasma levels (to examine the adrenal gland function)- blood electrolytes- inflammation tests (PCR, sedimentation rate). A head up tilt test may be necessary to confirm a possible orthostatic hypotension if suspicions are raised during the physical exam. Meanwhile I would advise you to take plenty of water and juices and a balanced diabetic diet.Hope to have been helpful!Best regards, Dr. Iliri </s>