Lightheadednes, low BLOOD PRESSURE with low DHEA.

Resolved question:
I'm a 34 yr old white male who is over weight 291 lbs. I have been struggling with lightheadedness and borderline low blood pressure on the (DIA end)on and off for about two years now. Then over the last four months other problems have shown such as fatigue, muscle weakness, some episodes of hypoglycemia, Orthostatic hypotension, palpitations. Had labs done. Results are as follows.
LDL- 62
HDL- 38
TOTAL CHOLESTEROL-124
TRIGLYCERIDES-120
GLUCOSE- 86
CREATINIE- 1.02
SODIUM- 139
POTASSIUM- 4.2
CHLORIDE- 103
CALCIUM- 9.5
CARBON DIOXIDE- 23
MAGNESIUM- 2.1
PHOSPHATE- 3.5
PROTEIN, TOTAL- 7.5
WHITE BLOOD- 5.9
RED BLOOD- 4.92
HEMOGLOBIN- 15.5
HEMATOCRIT- 47.8


TSH- 1.12
T4 FREE- 0.9 NORMAL RANGE (0.8-1.8)
T3 FREE- 3.0 NORMAL RANGE (2.3-4.2)
T3 TOTAL- 79 NORMAL RANGE (76-181)

*PROINSULIN- 81.5 (HIGH)
*GLUTAMIC ACID DECARBOXYLASE 65 AB- 1.1 (HIGH)

*C-PEPTIDE- 5.92 (HIGH)
FSH- 3.6

*INSULIN- 26.1 (HIGH)

*TESTOSTERONE, TOTAL- 155 (LOW)

GLUCOSE TOLERANCE TEST
FASTING SPECIMEN- 85
1-HOUR SPECIMEN- 125
2-HOUR SPECIMEN- 83

Overnight Dexamethasone Suppression Test (LOW DOSE 1mg)
CORTISOL, TOTAL- 0.6

*DHEA SULFATE- 81 (LOW)

ACTH, PLASMA- 9

Could this be an Adrenal Insufficiency?

I was told pre-diabetic due to the high insulin levels.

Does low DHEA happen when given an overnight dexamethasone suppression test?

Also thyroid levels are borderline normal.

Submitted: 4 Days
Category: Endocrinologist

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