<s>[INST] I have epilepsy, I take Topamax twice a day, I also have diabetes. I get so tired during the day I fall asleep sitting up about 2-3pm. My diabetes is well under control. A1c's are 5-6. I have them tested about every 3 months. I do have seizures if I get upset or stressed or if I exercise. I have thyroid problems which makes my weight heavy. I do not eat much which is not good for my diabetes. Is there a better diet for me I should be eating? [/INST] Hi and thank you so much for this query.I am so sorry to hear about this diabetes and epilepsy. I have a strong feeling that your hypothyroidism is not well managed. This is because despite decreased food intake, you still complain of weight gain. Also, your fatigue is suggestive of symptoms of hypothyroidism. If your treatment has not been evaluated, I will suggest you get the TSH measured to see how well you are doing on treatment. At least, you know stress and getting upset would provoke seizure, try to stay clear of these provoking factors to spare yourself repeated seizure episodes. I understand it is not easy but then, it is worth it if you want a better quality of life.I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD. </s>