A member asked:

I am experiencing extreme fatigue. i have type 1 diabetes and no thyroid due to thyroid cancer in the past. could it be related to these things? i am very inactive at the moment due to working from home the past 20 weeks, and shielding due to covid.

4 doctors weighed in across 3 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

Fatigue: You would have to be evaluated to determine if your medical issues are the culprits here. I am a psychiatrist and I have talked with sooo many people who are feeling low and lethargic. Most have undergone major lifestyle changes and our world has turned upside down. Stress may be a contributing factor. Take care

Answered 7/19/2020

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Fatigue: With your history assessment of thyroid status and diabetes control definitely are important in evaluation of chronic fatigue. Other important testing should check for anemia, iron deficiency and vitamin B12 deficiency, kidney function, liver function, electrolytes, blood pressure and cardiac status. More complicated testing like adrenal function can be done after the initial testing if needed.

Answered 7/15/2020

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Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor and discuss if you may be depressed. Counter-intuitive as it may seem, exercise may help. Start with low intensity exercise such as walking and gradually increase the intensity as tolerated. Wish you good health!

Answered 7/16/2020

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