I am a 44year-old caucasian male experiencing syncope accompanied by hypERrglycemia. EEG, EKG, Nuclear Stress Test, Stress Echo Cardiogram, and Tilt table tests, all results "normal". No have abdominal pain with episodes, but a cold sensation progresses from toes to thighs. Lips get cold right before syncope. Episodes take 5-10 minutes to develop (start of cold sensation until syncope). Awake 1-5 minutes later, sometimes with grogginess similar to hang-over - pressure in head - sometimes in the front, but more often in the back of head / upper neck. Normally feel 100% within a few minutes. HypOglycemia has never been observed during the episodes. Blood glucose checked before and after a 4-5 incidents; each time a rapid rise from the upper 160s immediately prior to syncope to the 240s after recovery. Diagnosed in Feb 2009 with Type 2 Diabetes BG under control with diet and exercise. A1C < 6.0. Obese @ 330#, 6'0" tall.
History of head and back trauma from a motorcycle accident 5 years ago. CT, MRI w/contrast of the brain showed no abnormalities. Suffer from chronic upper back, mid back, low back pain stemming from the crash.
allergic to NSAIDs and Erythromycin. Had one Erythromycin reaction, which caused similar symptoms, loss of consciousness in that instance was much longer.
I am beginning to suspect that either I have a pancreatic disorder of some sort, or I am having an allergic reaction which is causing both the syncope and the hyperglycemia. What do you all think?
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