 [ Symptoms ] how can i control my blood sugar after accident  currently i am taking 1000 mg of metformin twice a day to control my sugar i was recently in an accident and my blood sugar numbers are way out of control i cannot exercise the way i used to damaged to 2 disc is in the neck and lower spine as well as nerve damage besides watching my diet even more is there anything else i can do to avoid these spikes [ Disease ] fatigue can be the only symptom related to tricuspid regurgitation but left shoulder pain and chest pain are not also migraine can cause nausea and and dizziness but those symptoms altogether may refer to another internal pathology which i think could be pancreas or anxiety disorder get amylase tested vagus nerve hyperactivity is a possible cause is there any abdominal pains