[26F] Experiencing fatigue, nausea, and irritability

What might be happening

Based on the information you've provided, several possibilities could explain your symptoms:

• Early Pregnancy: Given that you're unsure if you're pregnant and your last period was 3 weeks ago, your symptoms could be due to early pregnancy. Fatigue, nausea, and irritability are common symptoms in early pregnancy.

  • Pregnancy tests are usually accurate about a week after a missed period, so you may want to take a home pregnancy test if your period does not start when expected.

• Diabetes-related Fatigue: As a person with type 2 diabetes, high blood sugar levels can cause fatigue. When your body's cells can't use glucose for energy due to lack of insulin or insulin resistance, you may feel tired.

  • Regular monitoring and management of your blood sugar levels can help manage this symptom.

• Mental Health Conditions: You mentioned having anxiety, depression, and bipolar disorder. These conditions can often cause symptoms like fatigue and irritability. Changes in appetite or eating habits can also lead to feelings of nausea.

  • Regular follow-ups with your mental health professional and adherence to prescribed medications can help manage these symptoms.

• Side effects of Medication: Some of the medications you're taking, such as Cymbalta and Wellbutrin, can cause nausea and fatigue as side effects.

  • If you suspect your symptoms might be related to your medication, do not stop taking them on your own. Instead, consult with your healthcare provider.

What you can do

1. Take a home pregnancy test if your period does not start when expected.
2. Monitor your blood sugar levels regularly and follow your diabetes management plan.
3. Maintain regular follow-ups with your mental health professional.
4. If you suspect your symptoms might be related to your medication, consult with your healthcare provider. Do not stop taking your medications without consulting your healthcare provider.

What you should look out for

Seek immediate medical attention if:

• Your fatigue becomes so severe that you can't perform daily activities or you're sleeping more than usual.
• Your nausea becomes severe, you can't keep down food or fluids, or you notice signs of dehydration like dark urine, dry mouth, or feeling lightheaded when standing.
• You notice any changes in your mood or behavior that concern you, such as feeling unusually depressed or having thoughts of harming yourself.
• You experience any new or worsening symptoms.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.