3 years

Insomnia and lethargic

I am a man in my 40s and was recently diagnosed with Type 2 diabetes. My doctor prescribed me with Diamicron, Jardience, Metformin and onglyza saxagliptin. Since my diagnosis, I changed my lifestyle and have consistently maintained my blood sugar level below 7.6 (normally 4.8 - 6.5). However, since I started medication, I consistently suffer from insomnia and heavy body aches - especially on my knees. Recently I get only 2 - 3 hours sleep every night and since I need to work the next day, it gets worse through out the week. Other symptomps include stomach ache and feeling of about to vomit. Could this be due to medication? I have also lose a lot of weight recently that it worries me.

Thank you for your questions. The following answers regarding your current queries are just general descriptions due to the limited information provided by you. Click on this link (DoctorOnCall) for a private consultation with our doctors.

First and foremost, we truly understand your concerns regarding your symptoms and other health problems you might be facing.

For Diamicron, here are the side effects that may occur from most common to rare:

  • Hypoglycemia-sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet
  • Abdominal discomfort
  • Nausea
  • Vomitting
  • Muscle pain
  • Dizziness
  • Rashes & itching
  • Headache
  • Joint pain
  • Visual changes or disturbance
  • Anemia

Here are the side effects of Jardience:

  • Dehydration
  • Dizziness
  • Lightheadedness
  • Weakness
  • Yeast infection
  • Low blood sugar
  • Nausea
  • Upper respiratory tract infection(URTI)
  • Joint pain
  • High cholesterol
  • Increased urination
  • UTI
  • Thirst
  • Hypotension

Metformin side effects are as follows:

  • Weakness
  • Diarrhea
  • Gas
  • Muscle pain
  • URTI
  • Hypoglycemia
  • Abdominal pain
  • Low B12
  • Nausea and vomiting
  • Constipation
  • Heart burn, chestpain

Side effects of Onglyza saxagliptin:

  • Runny or stuffy nose
  • Sore throat
  • Cough
  • Headache
  • Stomach pain

Your lack of sleep can be caused by multiple factors such as:

  • Too much screen time on devices before sleep
  • Consume caffeinated drinks or food before sleep
  • Exercises before sleep can increase adrenaline prevent from sleeping
  • Stress from work or family
  • Big evening meals before sleep
  • Insomnia

It is possible that you are losing weight due to diabetes itself as your body cannot utilize the glucose from you food. Hence, they will breakdown muscles, fats and glycogen to supply energy to your body. This may also be caused by your change in lifestyle. Lost of weight and proper diet is very important in halting the progression of diabetes. Hence, continue an active and healthy lifestyle.

In order for us to provide you with an accurate choice of treatment and management, we need additional details to explore further into your current complaints. Therefore, we greatly suggest that you refer this to your nearest medical doctor. You may get online consultations with our doctors here for medical advice and treatments. We assure you that our conversations are kept in confidentiality unless additional consultation needed with other medical parties. Thank you.


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