Q. What can cause sudden blank out in a diabetic patient?

Hi,

Welcome to icliniq.com.

I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns.

CT scan shows no significant lesion in brain and no focal hemorrhagic bleeding event which is one of the main causes in many cases. Heart diseases can also cause unconsciousness. In such cases, we monitor indoor patients on Holter monitor for any kind of rhythmic change in heart beat and to see if there is any atrial or ventricular fibrillation. Your father did not have a positive sign there. His heart rhythms are normal. Sometimes there is an imbalance in the serum electrolytes and fluid; electrolytes imbalance may lead to unconsciousness and syncope. But, your father is fine on that too. Your father's angiography for single artery occlusive disease went eventless and normal flow to heart was restored with stent deployment. My final impression is patients with diabetes also sometimes get unconscious due to the low glucose levels in blood and due to low supply of glucose to the tissues. For example as in case of type II diabetes, they get low insulin levels that cause them to get problems with taking glucose into the tissues from blood. No need to worry as this may be anything that is not so obvious and so minor and a single event that is unable to get revealed on investigations. In such situations, usually there is no harm to the patient. Patients after angiography may sometimes get such an issue due to manipulation of the heart in angiography. But, this is not a major issue of medical concern. There is no problem with his heart and the stent is not displaced from the site which may be a source of tension for the patient. Your father is totally alright. I have scanned and observed deeply all the reports and he is fine in every respect.

For further information consult a cardiologist online.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif

Experience: 12 + Yrs

Cardiology

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