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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 110 (from laksa196)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa110.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue","crawl_time":1769983952,"first_indexed_time":1603495344,"http_code":200,"src_unparsed":"com,medicalnewstoday!www,\/articles\/sudden-extreme-fatigue s443","src_root_hash":"5853625527623639710","history_drop_reason":null,"meta_title":"Sudden extreme fatigue: Causes and treatment","meta_descriptions":["Sudden, extreme fatigue can happen when a person does a lot of physical activity, is ill, or has a medical condition."],"attrs_boilerpipe_text":"Sudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause.\nFatigue is when a person feels persistent exhaustion, lack of energy, or burnout. This can be physical, mental, or both. It is more than simply feeling sleepy or drowsy.\nThere are many reasons a person may experience fatigue. These range from allergies to chronic conditions, such as arthritis and diabetes.\npollen\npets\nfoods\nSome people may experience any or all of the following issues due to allergies:\na runny nose\nitching\nrashes\nbreathing problems\nWhen people come into contact with an allergen, the\nbody releases\nthe chemical histamine to fight it off. This causes the symptoms of an allergic reaction, which can include sudden tiredness.\nTreatment\nThe following treatments\nmay help\na person with allergies:\navoiding contact with allergens\ntaking medication, such as\nantihistamines\nor steroids\nallergen-specific immunotherapy\nDepression is a mood disorder that causes feelings of sadness and disinterest.\nThe condition is due to a disturbance in the central nervous system,\nwhich causes\nneurotransmitters to not function as they should, including:\nserotonin\nnorepinephrine\ndopamine\nFatigue is one of the\nmain symptoms\nindividuals may experience with depression.\nResearch from 2023\nnotes that fatigue in depression may be linked to the common decline in executive functions. Executive functions involve:\nmonitoring and updating information in the working memory\nshifting between mental tasks or sets\ninhibition of dominant responses\nIndividuals with depression may also experience sleep issues, such as difficulty sleeping, waking too early, and oversleeping.\nTreatment\nSome research supports the following treatments for fatigue and depression:\nmedications\n, including\nmodafinil\nand\natomoxetine\nantidepressants\n, such as\ncitalopram\nand\nvenlafaxine\npsychotherapy, such as\ncognitive behavioral therapy (CBT)\nelectroconvulsive therapy\nif depression symptoms are severe\nExperts\ndo not currently know\nwhy some people develop this condition, although studies suggest that genes may play a part.\nFibromyalgia causes people to perceive pain as being greater than the discomfort that people without this disorder experience.\nOne of the symptoms of fibromyalgia is chronic fatigue. People are more likely to experience this fatigue when they wake up in the morning, but this can also occur in the mid-afternoon.\nPeriods of inactivity and activity can increase this tiredness, and it may disturb sleep, causing people to wake up feeling unrefreshed.\nTreatment\nTreatment options for fibromyalgia include the following:\naerobic physical activity of 30 minutes, three times a week\nantidepressant medications, such as\nduloxetine\nphysical therapy and psychotherapy\nalternative therapies, such as tai chi,\nyoga\n, and\nacupuncture\ncoronary artery disease\n, which causes:\nangina\nheart attack\nheart failure\ncerebrovascular disease results in\nstroke\nand\ntransient ischemic attack\n, which may be a warning sign for stroke\nperipheral artery disease\naffects the limbs, resulting in cramps\naortic\natherosclerosis\n, which triggers\naneurysms\nin the torso and abdomen\nPeople may not show any symptoms of heart disease. For example, a person may have a silent, unnoticeable ischemic attack.\nOther symptoms of heart disease include:\nchest pain\nweakness in the limbs and arms\nfacial drooping\ncough and shortness of breath\nFemales are\nmore likely\nto experience fatigue as a symptom of heart disease. People with chronic heart disease are also more likely to experience fatigue.\nSymptoms can become worse the longer a person has heart disease due to plaque building up in the arteries, narrowing and hardening them.\nTreatment\nTreatment options for heart disease include the\nfollowing\n:\nStatins\nand\naspirin\nmay help prevent stroke and other complications of heart disease.\nMaking sure\ncholesterol\n,\nblood pressure\n, and\nglucose\nare at normal levels.\nQuitting smoking\n, following a\nhealthful diet\n, and taking up physical activity may help prevent complications.\nArthritis\n, particularly rheumatoid arthritis (RA), can trigger fatigue.\nRA causes people\nto have\nswollen and painful joints, joint stiffness, and a feeling of physical weakness.\nPeople can experience fatigue early on in RA or not at all. Symptoms are\nthe result of\na dysfunction of the immune system.\nPeople who develop RA are likely to be genetically predisposed to this condition. Environmental factors, such as smoking, can also increase the risk.\nTreatment\nTreatment options for arthritis include the\nfollowing\n:\nphysical activity, physical therapy, and acupuncture\nanti-inflammatory drugs and corticosteroids\ndisease-modifying antirheumatic drugs\nThis leads to\nsnoring\nand disturbed sleep. People with apnea may also stop breathing due to this obstruction for 10 or more seconds.\nPeople are more likely to have sleep apnea if they have\nobesity\n, consume alcohol or sedatives, or smoke.\nBecause this condition causes disturbed sleep, people are likely to wake up tired. They may also experience fatigue during the day.\nOther symptoms of sleep apnea include memory problems, a sore throat, and a decrease in sex drive.\nTreatment\nusing a\ncontinuous positive airway pressure (CPAP) machine\nchin straps or devices that keep the tongue in place may reduce snoring\neating a healthful, balanced diet and exercising\navoiding alcohol before bed\nsleeping on the side rather than on the stomach or back\nDiabetes is a long-term health condition\nthat affects\nhow efficiently the body turns food into energy.\nWhen a person eats food, their pancreas releases insulin, which allows blood sugar into the cells so the body can use it for energy.\nIn type 1 diabetes, the body does not make enough insulin. In type 2 diabetes, the body cannot effectively use the insulin it produces.\nResearchers believe that a lack of insulin makes the body rely on fat instead of carbohydrates for energy. This causes chemical changes that may lead to an increase in fatigue.\nIt is also possible that people may experience psychological fatigue.\nResearchers believe that the inability to manage diabetes without medication may lead to a sense of fatigue. When people experience fatigue, they are less likely to manage their condition. This can lead to a cycle of tiredness and distress.\nTreatment\nThe treatment options for diabetes\ninclude\n:\ntaking\ninsulin\nmanaging blood sugar levels\neating\na healthful, balanced\ndiet\n, and being physically active\ncontrolling cholesterol\nApart from treating and managing underlying conditions, one way to potentially to prevent fatigue is to ensure people practice good sleep hygiene.\nSome tips for a good night’s sleep\ninclude\n:\nsleeping with a regular schedule\nrelaxing before bed\navoiding using electronic devices in the bedroom\nkeeping the bedroom at a comfortable temperature and using low lighting in the evenings\nexercising during the day\navoiding eating large meals before bed and drinking caffeine in the afternoon and evening\nMaking lifestyle changes\nLifestyle changes may help people feel less tired during the day. These adjustments\ninclude\n:\nkeeping a fatigue diary to note tiredness patterns\nexercising regularly\navoiding napping for more than 30 minutes\nquitting smoking\nasking for help if they feel overwhelmed\nPeople should contact a healthcare professional if they think their fatigue is a symptom of an underlying condition.\nA person should also speak with a medical professional if their fatigue stops them from participating in typical daily activities, or negatively impacts their life.\nA healthcare professional can share management tips, diagnose any underlying conditions, and suggest treatment plans.\nFatigue, or extreme tiredness, can be due to several conditions, including diabetes, depression, and fibromyalgia.\nIt can stop people from participating in their typical daily activities. However, by treating or managing this symptom, as well as any underlying conditions, people may go on to live their typical lives.\nA doctor can recommend lifestyle changes and medical treatments to manage the conditions that trigger fatigue.","attrs_markdown":"- Health Conditions\n  ### Health Conditions\n  - [Alzheimer's & Dementia](https:\/\/www.medicalnewstoday.com\/alzheimers-and-dementia)\n  - [Anxiety](https:\/\/www.medicalnewstoday.com\/anxiety)\n  - [Asthma & Allergies](https:\/\/www.medicalnewstoday.com\/asthma-and-allergies)\n  - [Atopic Dermatitis](https:\/\/www.medicalnewstoday.com\/program\/investigating-atopic-dermatitis)\n  - [Breast Cancer](https:\/\/www.medicalnewstoday.com\/breast-cancer)\n  - [Cancer](https:\/\/www.medicalnewstoday.com\/cancer)\n  - [Cardiovascular Health](https:\/\/www.medicalnewstoday.com\/cardiovascular-health)\n  - [COVID-19](https:\/\/www.medicalnewstoday.com\/coronavirus?correlationId=2b137d5a-dcfb-464e-9ea6-72c5a54b4e92)\n  - [Diabetes](https:\/\/www.medicalnewstoday.com\/diabetes)\n  - 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[Ankylosing Spondylitis Pain: Fact or Fiction](https:\/\/www.medicalnewstoday.com\/articles\/complementary-therapies-for-as-quiz#1)\n- Connect\n  ### About Medical News Today\n  - [Who We Are](https:\/\/www.medicalnewstoday.com\/about)\n  - [Our Editorial Process](https:\/\/www.medicalnewstoday.com\/articles\/process)\n  - [Content Integrity](https:\/\/www.medicalnewstoday.com\/about\/content-integrity)\n  - [Conscious Language](https:\/\/www.medicalnewstoday.com\/about\/conscious-language)\n  \n  ### Find Community\n  - [Bezzy Breast Cancer](https:\/\/www.bezzybc.com\/lp\/2\/?verzenio&utm_source=mnt&utm_medium=nav-bar-connect)\n  - [Bezzy MS](https:\/\/www.bezzyms.com\/?utm_source=mnt&utm_medium=nav-bar-connect)\n  - [Bezzy Migraine](https:\/\/www.bezzymigraine.com\/?utm_source=mnt&utm_medium=nav-bar-connect)\n  - [Bezzy Psoriasis](https:\/\/www.bezzypsoriasis.com\/?utm_source=mnt&utm_medium=nav-bar-connect)\n  ### Follow Us\n\nSubscribe\n\n# What causes sudden episodes of extreme fatigue?\n![](https:\/\/i0.wp.com\/post.medicalnewstoday.com\/wp-content\/uploads\/2022\/01\/Mia-Armstrong-500x500-Bio.png?w=105&h=105)\n\n[Medically reviewed]() by [Mia Armstrong, MD]() — Written by Veronica Zambon —  [Updated on December 9, 2024]()\n\n- [Allergies](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#allergies)\n- [Depression](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#depression)\n- [Fibromyalgia](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#fibromyalgia)\n- [Heart disease](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#heart-disease)\n- [Arthritis](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#arthritis)\n- [Sleep apnea](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#sleep-apnea)\n- [Diabetes](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#diabetes)\n- [Prevention](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#prevention)\n- [Contacting a doctor](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#contacting-a-doctor)\n- [Summary](https:\/\/www.medicalnewstoday.com\/articles\/sudden-extreme-fatigue#summary)\n\nSudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause.\n\nFatigue is when a person feels persistent exhaustion, lack of energy, or burnout. This can be physical, mental, or both. It is more than simply feeling sleepy or drowsy.\n\nThere are many reasons a person may experience fatigue. These range from allergies to chronic conditions, such as arthritis and diabetes.\n\n## [Allergies]()\n![A person experiencing sudden extreme fatigue.](https:\/\/i0.wp.com\/post.medicalnewstoday.com\/wp-content\/uploads\/sites\/3\/2020\/08\/Extreme_fatigue_GettyImages1129061211_header-1024x575.jpg?w=1155&h=1528)\n\n[Share on Pinterest](https:\/\/www.pinterest.com\/pin\/create\/button\/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2Fsudden-extreme-fatigue&media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2020%2F08%2FExtreme_fatigue_GettyImages1129061211_header-1024x575.jpg&description=Sudden%20extreme%20fatigue%3A%20Causes%20and%20treatment \"Share on Pinterest\")\n\nImage credit: Maskot\/Getty Images\n\n[Allergies](https:\/\/www.medicalnewstoday.com\/articles\/264419) result from the body’s immune system [overreacting to allergens](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK447112\/), such as:\n\n- pollen\n- pets\n- foods\n\nSome people may experience any or all of the following issues due to allergies:\n\n- a runny nose\n- itching\n- rashes\n- breathing problems\n\nWhen people come into contact with an allergen, the [body releases](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545237\/) the chemical histamine to fight it off. This causes the symptoms of an allergic reaction, which can include sudden tiredness.\n\n### Treatment\nThe following treatments [may help](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK447112\/) a person with allergies:\n\n- avoiding contact with allergens\n- taking medication, such as [antihistamines](https:\/\/www.medicalnewstoday.com\/articles\/antihistamines) or steroids\n- [allergen-specific immunotherapy](https:\/\/www.medicalnewstoday.com\/articles\/320402)\n\n## [Depression]()\nDepression is a mood disorder that causes feelings of sadness and disinterest.\n\nThe condition is due to a disturbance in the central nervous system, [which causes](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/) neurotransmitters to not function as they should, including:\n\n- serotonin\n- norepinephrine\n- dopamine\n\nFatigue is one of the [main symptoms](https:\/\/www.nimh.nih.gov\/health\/topics\/depression) individuals may experience with depression.\n\n[Research from 2023](https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2772598723000193) notes that fatigue in depression may be linked to the common decline in executive functions. Executive functions involve:\n\n- monitoring and updating information in the working memory\n- shifting between mental tasks or sets\n- inhibition of dominant responses\n\nIndividuals with depression may also experience sleep issues, such as difficulty sleeping, waking too early, and oversleeping.\n\n### Treatment\nSome research supports the following treatments for fatigue and depression:\n\n- [medications](https:\/\/link.springer.com\/article\/10.1007\/s40263-018-0490-z), including [modafinil](https:\/\/www.medicalnewstoday.com\/articles\/325963) and [atomoxetine](https:\/\/www.medicalnewstoday.com\/articles\/drugs-strattera)\n- [antidepressants](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/)\n  , such as [citalopram](https:\/\/www.medicalnewstoday.com\/articles\/drugs-citalopram-oral-tablet) and [venlafaxine](https:\/\/www.medicalnewstoday.com\/articles\/263705)\n- psychotherapy, such as [cognitive behavioral therapy (CBT)](https:\/\/www.medicalnewstoday.com\/articles\/296579)\n- [electroconvulsive therapy](https:\/\/www.medicalnewstoday.com\/articles\/297655) if depression symptoms are severe\n\n[Learn more about depression.](https:\/\/www.medicalnewstoday.com\/articles\/8933)\n\n## [Fibromyalgia]()\n[Fibromyalgia](https:\/\/www.medicalnewstoday.com\/articles\/147083) is a chronic pain disorder.\n\nExperts [do not currently know](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK540974\/) why some people develop this condition, although studies suggest that genes may play a part.\n\nFibromyalgia causes people to perceive pain as being greater than the discomfort that people without this disorder experience.\n\nOne of the symptoms of fibromyalgia is chronic fatigue. People are more likely to experience this fatigue when they wake up in the morning, but this can also occur in the mid-afternoon.\n\nPeriods of inactivity and activity can increase this tiredness, and it may disturb sleep, causing people to wake up feeling unrefreshed.\n\n### Treatment\nTreatment options for fibromyalgia include the following:\n\n- aerobic physical activity of 30 minutes, three times a week\n- antidepressant medications, such as [duloxetine](https:\/\/www.medicalnewstoday.com\/articles\/duloxetine-oral-capsule)\n- physical therapy and psychotherapy\n- alternative therapies, such as tai chi, [yoga](https:\/\/www.medicalnewstoday.com\/articles\/286745), and [acupuncture](https:\/\/www.medicalnewstoday.com\/articles\/156488)\n\nLearn more about [fibromyalgia treatment](https:\/\/www.medicalnewstoday.com\/articles\/321534).\n\n## [Heart disease]()\nHeart disease refers to [four different conditions](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK535419\/):\n\n- [coronary artery disease](https:\/\/www.medicalnewstoday.com\/articles\/184130), which causes:\n  - [angina](https:\/\/www.medicalnewstoday.com\/articles\/8886)\n  - [heart attack](https:\/\/www.medicalnewstoday.com\/articles\/151444)\n  - [heart failure](https:\/\/www.medicalnewstoday.com\/articles\/types-of-heart-failure)\n- cerebrovascular disease results in [stroke](https:\/\/www.medicalnewstoday.com\/articles\/7624) and [transient ischemic attack](https:\/\/www.medicalnewstoday.com\/articles\/164038), which may be a warning sign for stroke\n- [peripheral artery disease](https:\/\/www.medicalnewstoday.com\/articles\/188939) affects the limbs, resulting in cramps\n- aortic [atherosclerosis](https:\/\/www.medicalnewstoday.com\/articles\/247837), which triggers [aneurysms](https:\/\/www.medicalnewstoday.com\/articles\/156993) in the torso and abdomen\n\nPeople may not show any symptoms of heart disease. For example, a person may have a silent, unnoticeable ischemic attack.\n\nOther symptoms of heart disease include:\n\n- chest pain\n- weakness in the limbs and arms\n- facial drooping\n- cough and shortness of breath\n\nFemales are [more likely](https:\/\/www.nhlbi.nih.gov\/health-topics\/coronary-heart-disease) to experience fatigue as a symptom of heart disease. People with chronic heart disease are also more likely to experience fatigue.\n\nSymptoms can become worse the longer a person has heart disease due to plaque building up in the arteries, narrowing and hardening them.\n\n### Treatment\nTreatment options for heart disease include the [following](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK535419\/):\n\n- [Statins](https:\/\/www.medicalnewstoday.com\/articles\/8274) and [aspirin](https:\/\/www.medicalnewstoday.com\/articles\/161255) may help prevent stroke and other complications of heart disease.\n- Making sure [cholesterol](https:\/\/www.medicalnewstoday.com\/articles\/316190), [blood pressure](https:\/\/www.medicalnewstoday.com\/articles\/270644), and [glucose](https:\/\/www.medicalnewstoday.com\/articles\/249413) are at normal levels.\n- [Quitting smoking](https:\/\/www.medicalnewstoday.com\/articles\/241302), following a [healthful diet](https:\/\/www.medicalnewstoday.com\/articles\/324093), and taking up physical activity may help prevent complications.\n\n## [Arthritis]()\n[Arthritis](https:\/\/www.medicalnewstoday.com\/articles\/7621), particularly rheumatoid arthritis (RA), can trigger fatigue.\n\nRA causes people [to have](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK384467\/) swollen and painful joints, joint stiffness, and a feeling of physical weakness.\n\nPeople can experience fatigue early on in RA or not at all. Symptoms are [the result of](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518992\/) a dysfunction of the immune system.\n\nPeople who develop RA are likely to be genetically predisposed to this condition. Environmental factors, such as smoking, can also increase the risk.\n\n[Learn more about rheumatoid arthritis.](https:\/\/www.medicalnewstoday.com\/articles\/323361)\n\n### Treatment\nTreatment options for arthritis include the [following](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518992\/):\n\n- physical activity, physical therapy, and acupuncture\n- anti-inflammatory drugs and corticosteroids\n- disease-modifying antirheumatic drugs\n\nRead about [rheumatoid arthritis treatments](https:\/\/www.medicalnewstoday.com\/articles\/rheumatoid-arthritis-treatment).\n\n## [Sleep apnea]()\n[Sleep apnea](https:\/\/www.medicalnewstoday.com\/articles\/178633) is a condition where the upper airway [does not function](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441909\/) correctly during sleep.\n\nThis leads to [snoring](https:\/\/www.medicalnewstoday.com\/articles\/303834) and disturbed sleep. People with apnea may also stop breathing due to this obstruction for 10 or more seconds.\n\nPeople are more likely to have sleep apnea if they have [obesity](https:\/\/www.medicalnewstoday.com\/articles\/323551), consume alcohol or sedatives, or smoke.\n\nBecause this condition causes disturbed sleep, people are likely to wake up tired. They may also experience fatigue during the day.\n\nOther symptoms of sleep apnea include memory problems, a sore throat, and a decrease in sex drive.\n\n### Treatment\n[Treatments](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441909\/) for sleep apnea include:\n\n- using a [continuous positive airway pressure (CPAP) machine](https:\/\/www.medicalnewstoday.com\/articles\/what-does-a-cpap-machine-do-when-you-stop-breathing)\n- chin straps or devices that keep the tongue in place may reduce snoring\n- eating a healthful, balanced diet and exercising\n- avoiding alcohol before bed\n- sleeping on the side rather than on the stomach or back\n\n## [Diabetes]()\nDiabetes is a long-term health condition [that affects](https:\/\/www.cdc.gov\/diabetes\/about\/) how efficiently the body turns food into energy.\n\nWhen a person eats food, their pancreas releases insulin, which allows blood sugar into the cells so the body can use it for energy.\n\nIn type 1 diabetes, the body does not make enough insulin. In type 2 diabetes, the body cannot effectively use the insulin it produces.\n\nFatigue is a [common symptom](https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6064586\/) of diabetes.\n\nResearchers believe that a lack of insulin makes the body rely on fat instead of carbohydrates for energy. This causes chemical changes that may lead to an increase in fatigue.\n\nIt is also possible that people may experience psychological fatigue.\n\nResearchers believe that the inability to manage diabetes without medication may lead to a sense of fatigue. When people experience fatigue, they are less likely to manage their condition. This can lead to a cycle of tiredness and distress.\n\n### Treatment\nThe treatment options for diabetes [include](https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/insulin-medicines-treatments):\n\n- taking [insulin](https:\/\/www.medicalnewstoday.com\/articles\/323387)\n- managing blood sugar levels\n- [eating](https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/healthy-living-with-diabetes)\n  a healthful, balanced [diet](https:\/\/www.medicalnewstoday.com\/articles\/324416), and being physically active\n- controlling cholesterol\n\nLearn more about [diabetes treatment](https:\/\/www.medicalnewstoday.com\/articles\/323716).\n\n## [Prevention of sudden fatigue]()\nApart from treating and managing underlying conditions, one way to potentially to prevent fatigue is to ensure people practice good sleep hygiene.\n\nSome tips for a good night’s sleep [include](https:\/\/www.nia.nih.gov\/health\/good-nights-sleep):\n\n- sleeping with a regular schedule\n- relaxing before bed\n- avoiding using electronic devices in the bedroom\n- keeping the bedroom at a comfortable temperature and using low lighting in the evenings\n- exercising during the day\n- avoiding eating large meals before bed and drinking caffeine in the afternoon and evening\n\nLearn more [tips for sleeping better](https:\/\/www.medicalnewstoday.com\/articles\/325303).\n\n### Making lifestyle changes\nLifestyle changes may help people feel less tired during the day. These adjustments [include](https:\/\/www.nia.nih.gov\/health\/fatigue-older-adults):\n\n- keeping a fatigue diary to note tiredness patterns\n- exercising regularly\n- avoiding napping for more than 30 minutes\n- quitting smoking\n- asking for help if they feel overwhelmed\n\n[Learn more about fatigue.](https:\/\/www.medicalnewstoday.com\/articles\/248002)\n\n## [When to see a doctor]()\nPeople should contact a healthcare professional if they think their fatigue is a symptom of an underlying condition.\n\nA person should also speak with a medical professional if their fatigue stops them from participating in typical daily activities, or negatively impacts their life.\n\nA healthcare professional can share management tips, diagnose any underlying conditions, and suggest treatment plans.\n\n## [Summary]()\nFatigue, or extreme tiredness, can be due to several conditions, including diabetes, depression, and fibromyalgia.\n\nIt can stop people from participating in their typical daily activities. However, by treating or managing this symptom, as well as any underlying conditions, people may go on to live their typical lives.\n\nA doctor can recommend lifestyle changes and medical treatments to manage the conditions that trigger fatigue.\n\n- [Allergy](https:\/\/www.medicalnewstoday.com\/categories\/allergy)\n- [Body Aches](https:\/\/www.medicalnewstoday.com\/categories\/body-aches)\n- [Diabetes](https:\/\/www.medicalnewstoday.com\/categories\/diabetes)\n- [Heart Disease](https:\/\/www.medicalnewstoday.com\/categories\/heart-disease)\n- [Mental Health](https:\/\/www.medicalnewstoday.com\/categories\/mental-health)\n- [Rheumatoid Arthritis](https:\/\/www.medicalnewstoday.com\/categories\/rheumatoid-arthritis)\n- [Immune System \/ Vaccines](https:\/\/www.medicalnewstoday.com\/categories\/immune-system)\n- [Sleep \/ Sleep Disorders \/ Insomnia](https:\/\/www.medicalnewstoday.com\/categories\/sleep)\n\n### How we reviewed this article:\nSources\n\nMedical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https:\/\/www.medicalnewstoday.com\/articles\/process).\n\n- A good night’s sleep. (2020).  \n  <https:\/\/www.nia.nih.gov\/health\/good-nights-sleep>\n- Allergies: Overview. (2023).  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK447112\/>\n- Bhargava J, et al. (2023). Fibromyalgia.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK540974\/>\n- Chand SP, et al. (2023). Depression.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/>\n- Coronary heart disease. (n.d.).  \n  <https:\/\/www.nhlbi.nih.gov\/health-topics\/coronary-heart-disease>\n- Depression. (2024).  \n  <https:\/\/www.nimh.nih.gov\/health\/topics\/depression>\n- Diabetes basics. (2024).  \n  <https:\/\/www.cdc.gov\/diabetes\/about\/>\n- Dougherty J M, et al. (2023). Allergy.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545237\/>\n- Fatigue in older adults. (2023).  \n  <https:\/\/www.nia.nih.gov\/health\/fatigue-older-adults>\n- Ghanean H, et al. (2018). Fatigue in patients with major depressive disorder: Prevalence, burden, and pharmacological approaches to management.  \n  <https:\/\/link.springer.com\/article\/10.1007\/s40263-018-0490-z>\n- Kalra S, et al. (2018). Diabetes fatigue syndrome.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6064586\/>\n- Kraft B, et al. (2023). The association between depression symptoms and reduced executive functioning is primarily linked by fatigue.  \n  <https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2772598723000193>\n- Lopez EO, et al. (2023). Cardiovascular disease.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK535419\/>\n- Memon J, et al. (2023). Obstructive sleep-disordered breathing.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441909\/>\n- Rheumatoid arthritis: Learn more– Fatigue related to rheumatoid arthritis. (2024).  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK384467\/>\n- Senthelal S, et al. (2023). Arthritis.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518992\/>\n- What is diabetes? (2023).  \n  <https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/what-is-diabetes>\n\nShare this article\n\n![](https:\/\/i0.wp.com\/post.medicalnewstoday.com\/wp-content\/uploads\/2022\/01\/Mia-Armstrong-500x500-Bio.png?w=105&h=105)\n\n[Medically reviewed]() by [Mia Armstrong, MD]() — Written by Veronica Zambon —  [Updated on December 9, 2024]()\n\n## Latest news\n- [Two days of oatmeal may help reduce 'bad' cholesterol levels, study finds](https:\/\/www.medicalnewstoday.com\/articles\/two-days-oatmeal-reduce-ldl-cholesterol-levels-study)\n- [Is sleep the missing piece in mental health?](https:\/\/www.medicalnewstoday.com\/articles\/is-sleep-the-missing-piece-in-mental-health)\n- [Is this why dementia affects more women? How menopause alters the brain](https:\/\/www.medicalnewstoday.com\/articles\/dementia-menopause-brain-health-gray-matter-memory-loss)\n- [Low dose aspirin does not reduce cancer risk in older adults, long-term study finds](https:\/\/www.medicalnewstoday.com\/articles\/low-dose-aspirin-does-not-reduce-cancer-risk-in-older-adults)\n- [Can treating rheumatoid arthritis before it sets in help delay its onset?](https:\/\/www.medicalnewstoday.com\/articles\/pretreatment-rheumatoid-arthritis-onset-delay-4-years)\n\n### Related Coverage\n- [Why am I so tired, and how do I beat fatigue?](https:\/\/www.medicalnewstoday.com\/articles\/8877?utm_source=ReadNext)\n  \n  [Many people feel persistently tired or fatigued, and it can negatively affect all facets of life. The cause of fatigue may be psychological or…](https:\/\/www.medicalnewstoday.com\/articles\/8877?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/8877?utm_source=ReadNext)\n- [Why does depression make you feel tired?](https:\/\/www.medicalnewstoday.com\/articles\/322264?utm_source=ReadNext)\n  \n  Medically reviewed by [Jennifer Litner, PhD, LMFT, CST](https:\/\/www.medicalnewstoday.com\/reviewers)\n  \n  [Fatigue is a symptom of depression, and it can also make depression worse. Learn about the link between depression fatigue and diet, sleep, exercise…](https:\/\/www.medicalnewstoday.com\/articles\/322264?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/322264?utm_source=ReadNext)\n- [What is the difference between flexion and extension?](https:\/\/www.medicalnewstoday.com\/articles\/flexion-vs-extension?utm_source=ReadNext)\n  \n  [Flexion and extension refer to directions of motion that affect the angle of a joint. Learn more.](https:\/\/www.medicalnewstoday.com\/articles\/flexion-vs-extension?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/flexion-vs-extension?utm_source=ReadNext)\n- [Arnold shoulder press: Benefits, risks, and how to do it properly](https:\/\/www.medicalnewstoday.com\/articles\/arnold-press?utm_source=ReadNext)\n  \n  Medically reviewed by [Danielle Hildreth, RN, CPT](https:\/\/www.medicalnewstoday.com\/reviewers)\n  \n  [What are the benefits and risks of the Arnold shoulder press and is it better than the traditional shoulder press? Read on to learn more.](https:\/\/www.medicalnewstoday.com\/articles\/arnold-press?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/arnold-press?utm_source=ReadNext)\n- [How long does it take to walk 10,000 steps?](https:\/\/www.medicalnewstoday.com\/articles\/how-long-does-it-take-to-walk-10k-steps?utm_source=ReadNext)\n  \n  [The time it takes to walk 10,000 steps depends on various factors, including walking speed, stride length, and more. Learn the average time here.](https:\/\/www.medicalnewstoday.com\/articles\/how-long-does-it-take-to-walk-10k-steps?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/how-long-does-it-take-to-walk-10k-steps?utm_source=ReadNext)\n\n© 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https:\/\/www.medicalnewstoday.com\/about\/additional-information).\n\n- [About Us](https:\/\/www.medicalnewstoday.com\/about)\n- [Contact Us](https:\/\/www.medicalnewstoday.com\/about\/contact-us)\n- [Terms of Use](https:\/\/www.medicalnewstoday.com\/about\/terms-of-use)\n- [Privacy Policy](https:\/\/www.medicalnewstoday.com\/about\/privacy-policy)\n- [Privacy Settings](https:\/\/www.medicalnewstoday.com\/privacy-settings)\n- [Advertising Policy](https:\/\/www.medicalnewstoday.com\/ad-policy)\n\n- [Health Topics](https:\/\/www.medicalnewstoday.com\/directory\/a-b)\n- [Health Hubs](https:\/\/www.medicalnewstoday.com\/articles\/content-hubs)\n- [Medical Affairs](https:\/\/www.medicalnewstoday.com\/about\/reviewers)\n- [Content Integrity](https:\/\/www.medicalnewstoday.com\/about\/content-integrity)\n- [Newsletters](https:\/\/www.medicalnewstoday.com\/newsletter)\n- © 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https:\/\/www.medicalnewstoday.com\/about\/additional-information).\n\n© 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https:\/\/www.medicalnewstoday.com\/about\/additional-information).\n\n[About](https:\/\/www.healthlinemedia.com\/?utm_source=medicalnewstoday.com&utm_medium=site&utm_campaign=footer&utm_content=about)[Careers](https:\/\/rvohealth.com\/careers)[Advertise with us](https:\/\/www.healthlinemedia.com\/advertise?utm_source=medicalnewstoday.com&utm_medium=site&utm_campaign=footer&utm_content=advertise)\n\nOUR BRANDS\n\n[Healthline](https:\/\/www.healthline.com\/)[Medical News Today](https:\/\/www.medicalnewstoday.com\/)[Greatist](https:\/\/greatist.com\/)[Psych Central](https:\/\/psychcentral.com\/)[Bezzy](https:\/\/bezzy.com\/)\n\n![](http:\/\/b.scorecardresearch.com\/p?c1=2&c2=38584006&cv=3.9&cj=1&comscorekw=main)","attrs_readable_markdown":"Sudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause.\n\nFatigue is when a person feels persistent exhaustion, lack of energy, or burnout. This can be physical, mental, or both. It is more than simply feeling sleepy or drowsy.\n\nThere are many reasons a person may experience fatigue. These range from allergies to chronic conditions, such as arthritis and diabetes.\n\n- pollen\n- pets\n- foods\n\nSome people may experience any or all of the following issues due to allergies:\n\n- a runny nose\n- itching\n- rashes\n- breathing problems\n\nWhen people come into contact with an allergen, the [body releases](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545237\/) the chemical histamine to fight it off. This causes the symptoms of an allergic reaction, which can include sudden tiredness.\n\nTreatment\n\nThe following treatments [may help](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK447112\/) a person with allergies:\n\n- avoiding contact with allergens\n- taking medication, such as [antihistamines](https:\/\/www.medicalnewstoday.com\/articles\/antihistamines) or steroids\n- [allergen-specific immunotherapy](https:\/\/www.medicalnewstoday.com\/articles\/320402)\n\nDepression is a mood disorder that causes feelings of sadness and disinterest.\n\nThe condition is due to a disturbance in the central nervous system, [which causes](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/) neurotransmitters to not function as they should, including:\n\n- serotonin\n- norepinephrine\n- dopamine\n\nFatigue is one of the [main symptoms](https:\/\/www.nimh.nih.gov\/health\/topics\/depression) individuals may experience with depression.\n\n[Research from 2023](https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2772598723000193) notes that fatigue in depression may be linked to the common decline in executive functions. Executive functions involve:\n\n- monitoring and updating information in the working memory\n- shifting between mental tasks or sets\n- inhibition of dominant responses\n\nIndividuals with depression may also experience sleep issues, such as difficulty sleeping, waking too early, and oversleeping.\n\nTreatment\n\nSome research supports the following treatments for fatigue and depression:\n\n- [medications](https:\/\/link.springer.com\/article\/10.1007\/s40263-018-0490-z), including [modafinil](https:\/\/www.medicalnewstoday.com\/articles\/325963) and [atomoxetine](https:\/\/www.medicalnewstoday.com\/articles\/drugs-strattera)\n- [antidepressants](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/)\n  , such as [citalopram](https:\/\/www.medicalnewstoday.com\/articles\/drugs-citalopram-oral-tablet) and [venlafaxine](https:\/\/www.medicalnewstoday.com\/articles\/263705)\n- psychotherapy, such as [cognitive behavioral therapy (CBT)](https:\/\/www.medicalnewstoday.com\/articles\/296579)\n- [electroconvulsive therapy](https:\/\/www.medicalnewstoday.com\/articles\/297655) if depression symptoms are severe\n\nExperts [do not currently know](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK540974\/) why some people develop this condition, although studies suggest that genes may play a part.\n\nFibromyalgia causes people to perceive pain as being greater than the discomfort that people without this disorder experience.\n\nOne of the symptoms of fibromyalgia is chronic fatigue. People are more likely to experience this fatigue when they wake up in the morning, but this can also occur in the mid-afternoon.\n\nPeriods of inactivity and activity can increase this tiredness, and it may disturb sleep, causing people to wake up feeling unrefreshed.\n\nTreatment\n\nTreatment options for fibromyalgia include the following:\n\n- aerobic physical activity of 30 minutes, three times a week\n- antidepressant medications, such as [duloxetine](https:\/\/www.medicalnewstoday.com\/articles\/duloxetine-oral-capsule)\n- physical therapy and psychotherapy\n- alternative therapies, such as tai chi, [yoga](https:\/\/www.medicalnewstoday.com\/articles\/286745), and [acupuncture](https:\/\/www.medicalnewstoday.com\/articles\/156488)\n\n- [coronary artery disease](https:\/\/www.medicalnewstoday.com\/articles\/184130), which causes:\n  - [angina](https:\/\/www.medicalnewstoday.com\/articles\/8886)\n  - [heart attack](https:\/\/www.medicalnewstoday.com\/articles\/151444)\n  - [heart failure](https:\/\/www.medicalnewstoday.com\/articles\/types-of-heart-failure)\n- cerebrovascular disease results in [stroke](https:\/\/www.medicalnewstoday.com\/articles\/7624) and [transient ischemic attack](https:\/\/www.medicalnewstoday.com\/articles\/164038), which may be a warning sign for stroke\n- [peripheral artery disease](https:\/\/www.medicalnewstoday.com\/articles\/188939) affects the limbs, resulting in cramps\n- aortic [atherosclerosis](https:\/\/www.medicalnewstoday.com\/articles\/247837), which triggers [aneurysms](https:\/\/www.medicalnewstoday.com\/articles\/156993) in the torso and abdomen\n\nPeople may not show any symptoms of heart disease. For example, a person may have a silent, unnoticeable ischemic attack.\n\nOther symptoms of heart disease include:\n\n- chest pain\n- weakness in the limbs and arms\n- facial drooping\n- cough and shortness of breath\n\nFemales are [more likely](https:\/\/www.nhlbi.nih.gov\/health-topics\/coronary-heart-disease) to experience fatigue as a symptom of heart disease. People with chronic heart disease are also more likely to experience fatigue.\n\nSymptoms can become worse the longer a person has heart disease due to plaque building up in the arteries, narrowing and hardening them.\n\nTreatment\n\nTreatment options for heart disease include the [following](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK535419\/):\n\n- [Statins](https:\/\/www.medicalnewstoday.com\/articles\/8274) and [aspirin](https:\/\/www.medicalnewstoday.com\/articles\/161255) may help prevent stroke and other complications of heart disease.\n- Making sure [cholesterol](https:\/\/www.medicalnewstoday.com\/articles\/316190), [blood pressure](https:\/\/www.medicalnewstoday.com\/articles\/270644), and [glucose](https:\/\/www.medicalnewstoday.com\/articles\/249413) are at normal levels.\n- [Quitting smoking](https:\/\/www.medicalnewstoday.com\/articles\/241302), following a [healthful diet](https:\/\/www.medicalnewstoday.com\/articles\/324093), and taking up physical activity may help prevent complications.\n\n[Arthritis](https:\/\/www.medicalnewstoday.com\/articles\/7621), particularly rheumatoid arthritis (RA), can trigger fatigue.\n\nRA causes people [to have](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK384467\/) swollen and painful joints, joint stiffness, and a feeling of physical weakness.\n\nPeople can experience fatigue early on in RA or not at all. Symptoms are [the result of](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518992\/) a dysfunction of the immune system.\n\nPeople who develop RA are likely to be genetically predisposed to this condition. Environmental factors, such as smoking, can also increase the risk.\n\nTreatment\n\nTreatment options for arthritis include the [following](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518992\/):\n\n- physical activity, physical therapy, and acupuncture\n- anti-inflammatory drugs and corticosteroids\n- disease-modifying antirheumatic drugs\n\nThis leads to [snoring](https:\/\/www.medicalnewstoday.com\/articles\/303834) and disturbed sleep. People with apnea may also stop breathing due to this obstruction for 10 or more seconds.\n\nPeople are more likely to have sleep apnea if they have [obesity](https:\/\/www.medicalnewstoday.com\/articles\/323551), consume alcohol or sedatives, or smoke.\n\nBecause this condition causes disturbed sleep, people are likely to wake up tired. They may also experience fatigue during the day.\n\nOther symptoms of sleep apnea include memory problems, a sore throat, and a decrease in sex drive.\n\nTreatment\n\n- using a [continuous positive airway pressure (CPAP) machine](https:\/\/www.medicalnewstoday.com\/articles\/what-does-a-cpap-machine-do-when-you-stop-breathing)\n- chin straps or devices that keep the tongue in place may reduce snoring\n- eating a healthful, balanced diet and exercising\n- avoiding alcohol before bed\n- sleeping on the side rather than on the stomach or back\n\nDiabetes is a long-term health condition [that affects](https:\/\/www.cdc.gov\/diabetes\/about\/) how efficiently the body turns food into energy.\n\nWhen a person eats food, their pancreas releases insulin, which allows blood sugar into the cells so the body can use it for energy.\n\nIn type 1 diabetes, the body does not make enough insulin. In type 2 diabetes, the body cannot effectively use the insulin it produces.\n\nResearchers believe that a lack of insulin makes the body rely on fat instead of carbohydrates for energy. This causes chemical changes that may lead to an increase in fatigue.\n\nIt is also possible that people may experience psychological fatigue.\n\nResearchers believe that the inability to manage diabetes without medication may lead to a sense of fatigue. When people experience fatigue, they are less likely to manage their condition. This can lead to a cycle of tiredness and distress.\n\nTreatment\n\nThe treatment options for diabetes [include](https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/insulin-medicines-treatments):\n\n- taking [insulin](https:\/\/www.medicalnewstoday.com\/articles\/323387)\n- managing blood sugar levels\n- [eating](https:\/\/www.niddk.nih.gov\/health-information\/diabetes\/overview\/healthy-living-with-diabetes)\n  a healthful, balanced [diet](https:\/\/www.medicalnewstoday.com\/articles\/324416), and being physically active\n- controlling cholesterol\n\nApart from treating and managing underlying conditions, one way to potentially to prevent fatigue is to ensure people practice good sleep hygiene.\n\nSome tips for a good night’s sleep [include](https:\/\/www.nia.nih.gov\/health\/good-nights-sleep):\n\n- sleeping with a regular schedule\n- relaxing before bed\n- avoiding using electronic devices in the bedroom\n- keeping the bedroom at a comfortable temperature and using low lighting in the evenings\n- exercising during the day\n- avoiding eating large meals before bed and drinking caffeine in the afternoon and evening\n\nMaking lifestyle changes\n\nLifestyle changes may help people feel less tired during the day. These adjustments [include](https:\/\/www.nia.nih.gov\/health\/fatigue-older-adults):\n\n- keeping a fatigue diary to note tiredness patterns\n- exercising regularly\n- avoiding napping for more than 30 minutes\n- quitting smoking\n- asking for help if they feel overwhelmed\n\nPeople should contact a healthcare professional if they think their fatigue is a symptom of an underlying condition.\n\nA person should also speak with a medical professional if their fatigue stops them from participating in typical daily activities, or negatively impacts their life.\n\nA healthcare professional can share management tips, diagnose any underlying conditions, and suggest treatment plans.\n\nFatigue, or extreme tiredness, can be due to several conditions, including diabetes, depression, and fibromyalgia.\n\nIt can stop people from participating in their typical daily activities. However, by treating or managing this symptom, as well as any underlying conditions, people may go on to live their typical lives.\n\nA doctor can recommend lifestyle changes and medical treatments to manage the conditions that trigger fatigue.","meta_canonical":null}

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Meta Description	Sudden, extreme fatigue can happen when a person does a lot of physical activity, is ill, or has a medical condition.
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Boilerpipe Text	Sudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause. Fatigue is when a person feels persistent exhaustion, lack of energy, or burnout. This can be physical, mental, or both. It is more than simply feeling sleepy or drowsy. There are many reasons a person may experience fatigue. These range from allergies to chronic conditions, such as arthritis and diabetes. pollen pets foods Some people may experience any or all of the following issues due to allergies: a runny nose itching rashes breathing problems When people come into contact with an allergen, the body releases the chemical histamine to fight it off. This causes the symptoms of an allergic reaction, which can include sudden tiredness. Treatment The following treatments may help a person with allergies: avoiding contact with allergens taking medication, such as antihistamines or steroids allergen-specific immunotherapy Depression is a mood disorder that causes feelings of sadness and disinterest. The condition is due to a disturbance in the central nervous system, which causes neurotransmitters to not function as they should, including: serotonin norepinephrine dopamine Fatigue is one of the main symptoms individuals may experience with depression. Research from 2023 notes that fatigue in depression may be linked to the common decline in executive functions. Executive functions involve: monitoring and updating information in the working memory shifting between mental tasks or sets inhibition of dominant responses Individuals with depression may also experience sleep issues, such as difficulty sleeping, waking too early, and oversleeping. Treatment Some research supports the following treatments for fatigue and depression: medications , including modafinil and atomoxetine antidepressants , such as citalopram and venlafaxine psychotherapy, such as cognitive behavioral therapy (CBT) electroconvulsive therapy if depression symptoms are severe Experts do not currently know why some people develop this condition, although studies suggest that genes may play a part. Fibromyalgia causes people to perceive pain as being greater than the discomfort that people without this disorder experience. One of the symptoms of fibromyalgia is chronic fatigue. People are more likely to experience this fatigue when they wake up in the morning, but this can also occur in the mid-afternoon. Periods of inactivity and activity can increase this tiredness, and it may disturb sleep, causing people to wake up feeling unrefreshed. Treatment Treatment options for fibromyalgia include the following: aerobic physical activity of 30 minutes, three times a week antidepressant medications, such as duloxetine physical therapy and psychotherapy alternative therapies, such as tai chi, yoga , and acupuncture coronary artery disease , which causes: angina heart attack heart failure cerebrovascular disease results in stroke and transient ischemic attack , which may be a warning sign for stroke peripheral artery disease affects the limbs, resulting in cramps aortic atherosclerosis , which triggers aneurysms in the torso and abdomen People may not show any symptoms of heart disease. For example, a person may have a silent, unnoticeable ischemic attack. Other symptoms of heart disease include: chest pain weakness in the limbs and arms facial drooping cough and shortness of breath Females are more likely to experience fatigue as a symptom of heart disease. People with chronic heart disease are also more likely to experience fatigue. Symptoms can become worse the longer a person has heart disease due to plaque building up in the arteries, narrowing and hardening them. Treatment Treatment options for heart disease include the following : Statins and aspirin may help prevent stroke and other complications of heart disease. Making sure cholesterol , blood pressure , and glucose are at normal levels. Quitting smoking , following a healthful diet , and taking up physical activity may help prevent complications. Arthritis , particularly rheumatoid arthritis (RA), can trigger fatigue. RA causes people to have swollen and painful joints, joint stiffness, and a feeling of physical weakness. People can experience fatigue early on in RA or not at all. Symptoms are the result of a dysfunction of the immune system. People who develop RA are likely to be genetically predisposed to this condition. Environmental factors, such as smoking, can also increase the risk. Treatment Treatment options for arthritis include the following : physical activity, physical therapy, and acupuncture anti-inflammatory drugs and corticosteroids disease-modifying antirheumatic drugs This leads to snoring and disturbed sleep. People with apnea may also stop breathing due to this obstruction for 10 or more seconds. People are more likely to have sleep apnea if they have obesity , consume alcohol or sedatives, or smoke. Because this condition causes disturbed sleep, people are likely to wake up tired. They may also experience fatigue during the day. Other symptoms of sleep apnea include memory problems, a sore throat, and a decrease in sex drive. Treatment using a continuous positive airway pressure (CPAP) machine chin straps or devices that keep the tongue in place may reduce snoring eating a healthful, balanced diet and exercising avoiding alcohol before bed sleeping on the side rather than on the stomach or back Diabetes is a long-term health condition that affects how efficiently the body turns food into energy. When a person eats food, their pancreas releases insulin, which allows blood sugar into the cells so the body can use it for energy. In type 1 diabetes, the body does not make enough insulin. In type 2 diabetes, the body cannot effectively use the insulin it produces. Researchers believe that a lack of insulin makes the body rely on fat instead of carbohydrates for energy. This causes chemical changes that may lead to an increase in fatigue. It is also possible that people may experience psychological fatigue. Researchers believe that the inability to manage diabetes without medication may lead to a sense of fatigue. When people experience fatigue, they are less likely to manage their condition. This can lead to a cycle of tiredness and distress. Treatment The treatment options for diabetes include : taking insulin managing blood sugar levels eating a healthful, balanced diet , and being physically active controlling cholesterol Apart from treating and managing underlying conditions, one way to potentially to prevent fatigue is to ensure people practice good sleep hygiene. Some tips for a good night’s sleep include : sleeping with a regular schedule relaxing before bed avoiding using electronic devices in the bedroom keeping the bedroom at a comfortable temperature and using low lighting in the evenings exercising during the day avoiding eating large meals before bed and drinking caffeine in the afternoon and evening Making lifestyle changes Lifestyle changes may help people feel less tired during the day. These adjustments include : keeping a fatigue diary to note tiredness patterns exercising regularly avoiding napping for more than 30 minutes quitting smoking asking for help if they feel overwhelmed People should contact a healthcare professional if they think their fatigue is a symptom of an underlying condition. A person should also speak with a medical professional if their fatigue stops them from participating in typical daily activities, or negatively impacts their life. A healthcare professional can share management tips, diagnose any underlying conditions, and suggest treatment plans. Fatigue, or extreme tiredness, can be due to several conditions, including diabetes, depression, and fibromyalgia. It can stop people from participating in their typical daily activities. However, by treating or managing this symptom, as well as any underlying conditions, people may go on to live their typical lives. A doctor can recommend lifestyle changes and medical treatments to manage the conditions that trigger fatigue.
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[Bezzy Psoriasis](https://www.bezzypsoriasis.com/?utm_source=mnt&utm_medium=nav-bar-connect) ### Follow Us Subscribe # What causes sudden episodes of extreme fatigue? ![](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/2022/01/Mia-Armstrong-500x500-Bio.png?w=105&h=105) [Medically reviewed]() by [Mia Armstrong, MD]() — Written by Veronica Zambon — [Updated on December 9, 2024]() - [Allergies](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#allergies) - [Depression](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#depression) - [Fibromyalgia](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#fibromyalgia) - [Heart disease](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#heart-disease) - [Arthritis](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#arthritis) - [Sleep apnea](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#sleep-apnea) - [Diabetes](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#diabetes) - [Prevention](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#prevention) - [Contacting a doctor](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#contacting-a-doctor) - [Summary](https://www.medicalnewstoday.com/articles/sudden-extreme-fatigue#summary) Sudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause. Fatigue is when a person feels persistent exhaustion, lack of energy, or burnout. This can be physical, mental, or both. It is more than simply feeling sleepy or drowsy. There are many reasons a person may experience fatigue. These range from allergies to chronic conditions, such as arthritis and diabetes. ## [Allergies]() ![A person experiencing sudden extreme fatigue.](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/08/Extreme_fatigue_GettyImages1129061211_header-1024x575.jpg?w=1155&h=1528) [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2Fsudden-extreme-fatigue&media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2020%2F08%2FExtreme_fatigue_GettyImages1129061211_header-1024x575.jpg&description=Sudden%20extreme%20fatigue%3A%20Causes%20and%20treatment "Share on Pinterest") Image credit: Maskot/Getty Images [Allergies](https://www.medicalnewstoday.com/articles/264419) result from the body’s immune system [overreacting to allergens](https://www.ncbi.nlm.nih.gov/books/NBK447112/), such as: - pollen - pets - foods Some people may experience any or all of the following issues due to allergies: - a runny nose - itching - rashes - breathing problems When people come into contact with an allergen, the [body releases](https://www.ncbi.nlm.nih.gov/books/NBK545237/) the chemical histamine to fight it off. This causes the symptoms of an allergic reaction, which can include sudden tiredness. ### Treatment The following treatments [may help](https://www.ncbi.nlm.nih.gov/books/NBK447112/) a person with allergies: - avoiding contact with allergens - taking medication, such as [antihistamines](https://www.medicalnewstoday.com/articles/antihistamines) or steroids - [allergen-specific immunotherapy](https://www.medicalnewstoday.com/articles/320402) ## [Depression]() Depression is a mood disorder that causes feelings of sadness and disinterest. The condition is due to a disturbance in the central nervous system, [which causes](https://www.ncbi.nlm.nih.gov/books/NBK430847/) neurotransmitters to not function as they should, including: - serotonin - norepinephrine - dopamine Fatigue is one of the [main symptoms](https://www.nimh.nih.gov/health/topics/depression) individuals may experience with depression. [Research from 2023](https://www.sciencedirect.com/science/article/pii/S2772598723000193) notes that fatigue in depression may be linked to the common decline in executive functions. Executive functions involve: - monitoring and updating information in the working memory - shifting between mental tasks or sets - inhibition of dominant responses Individuals with depression may also experience sleep issues, such as difficulty sleeping, waking too early, and oversleeping. ### Treatment Some research supports the following treatments for fatigue and depression: - [medications](https://link.springer.com/article/10.1007/s40263-018-0490-z), including [modafinil](https://www.medicalnewstoday.com/articles/325963) and [atomoxetine](https://www.medicalnewstoday.com/articles/drugs-strattera) - [antidepressants](https://www.ncbi.nlm.nih.gov/books/NBK430847/) , such as [citalopram](https://www.medicalnewstoday.com/articles/drugs-citalopram-oral-tablet) and [venlafaxine](https://www.medicalnewstoday.com/articles/263705) - psychotherapy, such as [cognitive behavioral therapy (CBT)](https://www.medicalnewstoday.com/articles/296579) - [electroconvulsive therapy](https://www.medicalnewstoday.com/articles/297655) if depression symptoms are severe [Learn more about depression.](https://www.medicalnewstoday.com/articles/8933) ## [Fibromyalgia]() [Fibromyalgia](https://www.medicalnewstoday.com/articles/147083) is a chronic pain disorder. Experts [do not currently know](https://www.ncbi.nlm.nih.gov/books/NBK540974/) why some people develop this condition, although studies suggest that genes may play a part. Fibromyalgia causes people to perceive pain as being greater than the discomfort that people without this disorder experience. One of the symptoms of fibromyalgia is chronic fatigue. People are more likely to experience this fatigue when they wake up in the morning, but this can also occur in the mid-afternoon. Periods of inactivity and activity can increase this tiredness, and it may disturb sleep, causing people to wake up feeling unrefreshed. ### Treatment Treatment options for fibromyalgia include the following: - aerobic physical activity of 30 minutes, three times a week - antidepressant medications, such as [duloxetine](https://www.medicalnewstoday.com/articles/duloxetine-oral-capsule) - physical therapy and psychotherapy - alternative therapies, such as tai chi, [yoga](https://www.medicalnewstoday.com/articles/286745), and [acupuncture](https://www.medicalnewstoday.com/articles/156488) Learn more about [fibromyalgia treatment](https://www.medicalnewstoday.com/articles/321534). ## [Heart disease]() Heart disease refers to [four different conditions](https://www.ncbi.nlm.nih.gov/books/NBK535419/): - [coronary artery disease](https://www.medicalnewstoday.com/articles/184130), which causes: - [angina](https://www.medicalnewstoday.com/articles/8886) - [heart attack](https://www.medicalnewstoday.com/articles/151444) - [heart failure](https://www.medicalnewstoday.com/articles/types-of-heart-failure) - cerebrovascular disease results in [stroke](https://www.medicalnewstoday.com/articles/7624) and [transient ischemic attack](https://www.medicalnewstoday.com/articles/164038), which may be a warning sign for stroke - [peripheral artery disease](https://www.medicalnewstoday.com/articles/188939) affects the limbs, resulting in cramps - aortic [atherosclerosis](https://www.medicalnewstoday.com/articles/247837), which triggers [aneurysms](https://www.medicalnewstoday.com/articles/156993) in the torso and abdomen People may not show any symptoms of heart disease. For example, a person may have a silent, unnoticeable ischemic attack. Other symptoms of heart disease include: - chest pain - weakness in the limbs and arms - facial drooping - cough and shortness of breath Females are [more likely](https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease) to experience fatigue as a symptom of heart disease. People with chronic heart disease are also more likely to experience fatigue. Symptoms can become worse the longer a person has heart disease due to plaque building up in the arteries, narrowing and hardening them. ### Treatment Treatment options for heart disease include the [following](https://www.ncbi.nlm.nih.gov/books/NBK535419/): - [Statins](https://www.medicalnewstoday.com/articles/8274) and [aspirin](https://www.medicalnewstoday.com/articles/161255) may help prevent stroke and other complications of heart disease. - Making sure [cholesterol](https://www.medicalnewstoday.com/articles/316190), [blood pressure](https://www.medicalnewstoday.com/articles/270644), and [glucose](https://www.medicalnewstoday.com/articles/249413) are at normal levels. - [Quitting smoking](https://www.medicalnewstoday.com/articles/241302), following a [healthful diet](https://www.medicalnewstoday.com/articles/324093), and taking up physical activity may help prevent complications. ## [Arthritis]() [Arthritis](https://www.medicalnewstoday.com/articles/7621), particularly rheumatoid arthritis (RA), can trigger fatigue. RA causes people [to have](https://www.ncbi.nlm.nih.gov/books/NBK384467/) swollen and painful joints, joint stiffness, and a feeling of physical weakness. People can experience fatigue early on in RA or not at all. Symptoms are [the result of](https://www.ncbi.nlm.nih.gov/books/NBK518992/) a dysfunction of the immune system. People who develop RA are likely to be genetically predisposed to this condition. Environmental factors, such as smoking, can also increase the risk. [Learn more about rheumatoid arthritis.](https://www.medicalnewstoday.com/articles/323361) ### Treatment Treatment options for arthritis include the [following](https://www.ncbi.nlm.nih.gov/books/NBK518992/): - physical activity, physical therapy, and acupuncture - anti-inflammatory drugs and corticosteroids - disease-modifying antirheumatic drugs Read about [rheumatoid arthritis treatments](https://www.medicalnewstoday.com/articles/rheumatoid-arthritis-treatment). ## [Sleep apnea]() [Sleep apnea](https://www.medicalnewstoday.com/articles/178633) is a condition where the upper airway [does not function](https://www.ncbi.nlm.nih.gov/books/NBK441909/) correctly during sleep. This leads to [snoring](https://www.medicalnewstoday.com/articles/303834) and disturbed sleep. People with apnea may also stop breathing due to this obstruction for 10 or more seconds. People are more likely to have sleep apnea if they have [obesity](https://www.medicalnewstoday.com/articles/323551), consume alcohol or sedatives, or smoke. Because this condition causes disturbed sleep, people are likely to wake up tired. They may also experience fatigue during the day. Other symptoms of sleep apnea include memory problems, a sore throat, and a decrease in sex drive. ### Treatment [Treatments](https://www.ncbi.nlm.nih.gov/books/NBK441909/) for sleep apnea include: - using a [continuous positive airway pressure (CPAP) machine](https://www.medicalnewstoday.com/articles/what-does-a-cpap-machine-do-when-you-stop-breathing) - chin straps or devices that keep the tongue in place may reduce snoring - eating a healthful, balanced diet and exercising - avoiding alcohol before bed - sleeping on the side rather than on the stomach or back ## [Diabetes]() Diabetes is a long-term health condition [that affects](https://www.cdc.gov/diabetes/about/) how efficiently the body turns food into energy. When a person eats food, their pancreas releases insulin, which allows blood sugar into the cells so the body can use it for energy. In type 1 diabetes, the body does not make enough insulin. In type 2 diabetes, the body cannot effectively use the insulin it produces. Fatigue is a [common symptom](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064586/) of diabetes. Researchers believe that a lack of insulin makes the body rely on fat instead of carbohydrates for energy. This causes chemical changes that may lead to an increase in fatigue. It is also possible that people may experience psychological fatigue. Researchers believe that the inability to manage diabetes without medication may lead to a sense of fatigue. When people experience fatigue, they are less likely to manage their condition. This can lead to a cycle of tiredness and distress. ### Treatment The treatment options for diabetes [include](https://www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments): - taking [insulin](https://www.medicalnewstoday.com/articles/323387) - managing blood sugar levels - [eating](https://www.niddk.nih.gov/health-information/diabetes/overview/healthy-living-with-diabetes) a healthful, balanced [diet](https://www.medicalnewstoday.com/articles/324416), and being physically active - controlling cholesterol Learn more about [diabetes treatment](https://www.medicalnewstoday.com/articles/323716). ## [Prevention of sudden fatigue]() Apart from treating and managing underlying conditions, one way to potentially to prevent fatigue is to ensure people practice good sleep hygiene. Some tips for a good night’s sleep [include](https://www.nia.nih.gov/health/good-nights-sleep): - sleeping with a regular schedule - relaxing before bed - avoiding using electronic devices in the bedroom - keeping the bedroom at a comfortable temperature and using low lighting in the evenings - exercising during the day - avoiding eating large meals before bed and drinking caffeine in the afternoon and evening Learn more [tips for sleeping better](https://www.medicalnewstoday.com/articles/325303). ### Making lifestyle changes Lifestyle changes may help people feel less tired during the day. These adjustments [include](https://www.nia.nih.gov/health/fatigue-older-adults): - keeping a fatigue diary to note tiredness patterns - exercising regularly - avoiding napping for more than 30 minutes - quitting smoking - asking for help if they feel overwhelmed [Learn more about fatigue.](https://www.medicalnewstoday.com/articles/248002) ## [When to see a doctor]() People should contact a healthcare professional if they think their fatigue is a symptom of an underlying condition. A person should also speak with a medical professional if their fatigue stops them from participating in typical daily activities, or negatively impacts their life. A healthcare professional can share management tips, diagnose any underlying conditions, and suggest treatment plans. ## [Summary]() Fatigue, or extreme tiredness, can be due to several conditions, including diabetes, depression, and fibromyalgia. It can stop people from participating in their typical daily activities. However, by treating or managing this symptom, as well as any underlying conditions, people may go on to live their typical lives. A doctor can recommend lifestyle changes and medical treatments to manage the conditions that trigger fatigue. - [Allergy](https://www.medicalnewstoday.com/categories/allergy) - [Body Aches](https://www.medicalnewstoday.com/categories/body-aches) - [Diabetes](https://www.medicalnewstoday.com/categories/diabetes) - [Heart Disease](https://www.medicalnewstoday.com/categories/heart-disease) - [Mental Health](https://www.medicalnewstoday.com/categories/mental-health) - [Rheumatoid Arthritis](https://www.medicalnewstoday.com/categories/rheumatoid-arthritis) - [Immune System / Vaccines](https://www.medicalnewstoday.com/categories/immune-system) - [Sleep / Sleep Disorders / Insomnia](https://www.medicalnewstoday.com/categories/sleep) ### How we reviewed this article: Sources Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.medicalnewstoday.com/articles/process). - A good night’s sleep. (2020). <https://www.nia.nih.gov/health/good-nights-sleep> - Allergies: Overview. (2023). <https://www.ncbi.nlm.nih.gov/books/NBK447112/> - Bhargava J, et al. (2023). Fibromyalgia. <https://www.ncbi.nlm.nih.gov/books/NBK540974/> - Chand SP, et al. (2023). Depression. <https://www.ncbi.nlm.nih.gov/books/NBK430847/> - Coronary heart disease. (n.d.). <https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease> - Depression. (2024). <https://www.nimh.nih.gov/health/topics/depression> - Diabetes basics. (2024). <https://www.cdc.gov/diabetes/about/> - Dougherty J M, et al. (2023). Allergy. <https://www.ncbi.nlm.nih.gov/books/NBK545237/> - Fatigue in older adults. (2023). <https://www.nia.nih.gov/health/fatigue-older-adults> - Ghanean H, et al. (2018). Fatigue in patients with major depressive disorder: Prevalence, burden, and pharmacological approaches to management. <https://link.springer.com/article/10.1007/s40263-018-0490-z> - Kalra S, et al. (2018). Diabetes fatigue syndrome. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064586/> - Kraft B, et al. (2023). The association between depression symptoms and reduced executive functioning is primarily linked by fatigue. <https://www.sciencedirect.com/science/article/pii/S2772598723000193> - Lopez EO, et al. (2023). Cardiovascular disease. <https://www.ncbi.nlm.nih.gov/books/NBK535419/> - Memon J, et al. (2023). Obstructive sleep-disordered breathing. <https://www.ncbi.nlm.nih.gov/books/NBK441909/> - Rheumatoid arthritis: Learn more– Fatigue related to rheumatoid arthritis. (2024). <https://www.ncbi.nlm.nih.gov/books/NBK384467/> - Senthelal S, et al. (2023). Arthritis. <https://www.ncbi.nlm.nih.gov/books/NBK518992/> - What is diabetes? (2023). <https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes> Share this article ![](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/2022/01/Mia-Armstrong-500x500-Bio.png?w=105&h=105) [Medically reviewed]() by [Mia Armstrong, MD]() — Written by Veronica Zambon — [Updated on December 9, 2024]() ## Latest news - [Two days of oatmeal may help reduce 'bad' cholesterol levels, study finds](https://www.medicalnewstoday.com/articles/two-days-oatmeal-reduce-ldl-cholesterol-levels-study) - [Is sleep the missing piece in mental health?](https://www.medicalnewstoday.com/articles/is-sleep-the-missing-piece-in-mental-health) - [Is this why dementia affects more women? How menopause alters the brain](https://www.medicalnewstoday.com/articles/dementia-menopause-brain-health-gray-matter-memory-loss) - [Low dose aspirin does not reduce cancer risk in older adults, long-term study finds](https://www.medicalnewstoday.com/articles/low-dose-aspirin-does-not-reduce-cancer-risk-in-older-adults) - [Can treating rheumatoid arthritis before it sets in help delay its onset?](https://www.medicalnewstoday.com/articles/pretreatment-rheumatoid-arthritis-onset-delay-4-years) ### Related Coverage - [Why am I so tired, and how do I beat fatigue?](https://www.medicalnewstoday.com/articles/8877?utm_source=ReadNext) [Many people feel persistently tired or fatigued, and it can negatively affect all facets of life. 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Readable Markdown	Sudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause. Fatigue is when a person feels persistent exhaustion, lack of energy, or burnout. This can be physical, mental, or both. It is more than simply feeling sleepy or drowsy. There are many reasons a person may experience fatigue. These range from allergies to chronic conditions, such as arthritis and diabetes. - pollen - pets - foods Some people may experience any or all of the following issues due to allergies: - a runny nose - itching - rashes - breathing problems When people come into contact with an allergen, the [body releases](https://www.ncbi.nlm.nih.gov/books/NBK545237/) the chemical histamine to fight it off. This causes the symptoms of an allergic reaction, which can include sudden tiredness. Treatment The following treatments [may help](https://www.ncbi.nlm.nih.gov/books/NBK447112/) a person with allergies: - avoiding contact with allergens - taking medication, such as [antihistamines](https://www.medicalnewstoday.com/articles/antihistamines) or steroids - [allergen-specific immunotherapy](https://www.medicalnewstoday.com/articles/320402) Depression is a mood disorder that causes feelings of sadness and disinterest. The condition is due to a disturbance in the central nervous system, [which causes](https://www.ncbi.nlm.nih.gov/books/NBK430847/) neurotransmitters to not function as they should, including: - serotonin - norepinephrine - dopamine Fatigue is one of the [main symptoms](https://www.nimh.nih.gov/health/topics/depression) individuals may experience with depression. [Research from 2023](https://www.sciencedirect.com/science/article/pii/S2772598723000193) notes that fatigue in depression may be linked to the common decline in executive functions. Executive functions involve: - monitoring and updating information in the working memory - shifting between mental tasks or sets - inhibition of dominant responses Individuals with depression may also experience sleep issues, such as difficulty sleeping, waking too early, and oversleeping. Treatment Some research supports the following treatments for fatigue and depression: - [medications](https://link.springer.com/article/10.1007/s40263-018-0490-z), including [modafinil](https://www.medicalnewstoday.com/articles/325963) and [atomoxetine](https://www.medicalnewstoday.com/articles/drugs-strattera) - [antidepressants](https://www.ncbi.nlm.nih.gov/books/NBK430847/) , such as [citalopram](https://www.medicalnewstoday.com/articles/drugs-citalopram-oral-tablet) and [venlafaxine](https://www.medicalnewstoday.com/articles/263705) - psychotherapy, such as [cognitive behavioral therapy (CBT)](https://www.medicalnewstoday.com/articles/296579) - [electroconvulsive therapy](https://www.medicalnewstoday.com/articles/297655) if depression symptoms are severe Experts [do not currently know](https://www.ncbi.nlm.nih.gov/books/NBK540974/) why some people develop this condition, although studies suggest that genes may play a part. Fibromyalgia causes people to perceive pain as being greater than the discomfort that people without this disorder experience. One of the symptoms of fibromyalgia is chronic fatigue. People are more likely to experience this fatigue when they wake up in the morning, but this can also occur in the mid-afternoon. Periods of inactivity and activity can increase this tiredness, and it may disturb sleep, causing people to wake up feeling unrefreshed. Treatment Treatment options for fibromyalgia include the following: - aerobic physical activity of 30 minutes, three times a week - antidepressant medications, such as [duloxetine](https://www.medicalnewstoday.com/articles/duloxetine-oral-capsule) - physical therapy and psychotherapy - alternative therapies, such as tai chi, [yoga](https://www.medicalnewstoday.com/articles/286745), and [acupuncture](https://www.medicalnewstoday.com/articles/156488) - [coronary artery disease](https://www.medicalnewstoday.com/articles/184130), which causes: - [angina](https://www.medicalnewstoday.com/articles/8886) - [heart attack](https://www.medicalnewstoday.com/articles/151444) - [heart failure](https://www.medicalnewstoday.com/articles/types-of-heart-failure) - cerebrovascular disease results in [stroke](https://www.medicalnewstoday.com/articles/7624) and [transient ischemic attack](https://www.medicalnewstoday.com/articles/164038), which may be a warning sign for stroke - [peripheral artery disease](https://www.medicalnewstoday.com/articles/188939) affects the limbs, resulting in cramps - aortic [atherosclerosis](https://www.medicalnewstoday.com/articles/247837), which triggers [aneurysms](https://www.medicalnewstoday.com/articles/156993) in the torso and abdomen People may not show any symptoms of heart disease. For example, a person may have a silent, unnoticeable ischemic attack. Other symptoms of heart disease include: - chest pain - weakness in the limbs and arms - facial drooping - cough and shortness of breath Females are [more likely](https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease) to experience fatigue as a symptom of heart disease. People with chronic heart disease are also more likely to experience fatigue. Symptoms can become worse the longer a person has heart disease due to plaque building up in the arteries, narrowing and hardening them. Treatment Treatment options for heart disease include the [following](https://www.ncbi.nlm.nih.gov/books/NBK535419/): - [Statins](https://www.medicalnewstoday.com/articles/8274) and [aspirin](https://www.medicalnewstoday.com/articles/161255) may help prevent stroke and other complications of heart disease. - Making sure [cholesterol](https://www.medicalnewstoday.com/articles/316190), [blood pressure](https://www.medicalnewstoday.com/articles/270644), and [glucose](https://www.medicalnewstoday.com/articles/249413) are at normal levels. - [Quitting smoking](https://www.medicalnewstoday.com/articles/241302), following a [healthful diet](https://www.medicalnewstoday.com/articles/324093), and taking up physical activity may help prevent complications. [Arthritis](https://www.medicalnewstoday.com/articles/7621), particularly rheumatoid arthritis (RA), can trigger fatigue. RA causes people [to have](https://www.ncbi.nlm.nih.gov/books/NBK384467/) swollen and painful joints, joint stiffness, and a feeling of physical weakness. People can experience fatigue early on in RA or not at all. Symptoms are [the result of](https://www.ncbi.nlm.nih.gov/books/NBK518992/) a dysfunction of the immune system. People who develop RA are likely to be genetically predisposed to this condition. Environmental factors, such as smoking, can also increase the risk. Treatment Treatment options for arthritis include the [following](https://www.ncbi.nlm.nih.gov/books/NBK518992/): - physical activity, physical therapy, and acupuncture - anti-inflammatory drugs and corticosteroids - disease-modifying antirheumatic drugs This leads to [snoring](https://www.medicalnewstoday.com/articles/303834) and disturbed sleep. People with apnea may also stop breathing due to this obstruction for 10 or more seconds. People are more likely to have sleep apnea if they have [obesity](https://www.medicalnewstoday.com/articles/323551), consume alcohol or sedatives, or smoke. Because this condition causes disturbed sleep, people are likely to wake up tired. They may also experience fatigue during the day. Other symptoms of sleep apnea include memory problems, a sore throat, and a decrease in sex drive. Treatment - using a [continuous positive airway pressure (CPAP) machine](https://www.medicalnewstoday.com/articles/what-does-a-cpap-machine-do-when-you-stop-breathing) - chin straps or devices that keep the tongue in place may reduce snoring - eating a healthful, balanced diet and exercising - avoiding alcohol before bed - sleeping on the side rather than on the stomach or back Diabetes is a long-term health condition [that affects](https://www.cdc.gov/diabetes/about/) how efficiently the body turns food into energy. When a person eats food, their pancreas releases insulin, which allows blood sugar into the cells so the body can use it for energy. In type 1 diabetes, the body does not make enough insulin. In type 2 diabetes, the body cannot effectively use the insulin it produces. Researchers believe that a lack of insulin makes the body rely on fat instead of carbohydrates for energy. This causes chemical changes that may lead to an increase in fatigue. It is also possible that people may experience psychological fatigue. Researchers believe that the inability to manage diabetes without medication may lead to a sense of fatigue. When people experience fatigue, they are less likely to manage their condition. This can lead to a cycle of tiredness and distress. Treatment The treatment options for diabetes [include](https://www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments): - taking [insulin](https://www.medicalnewstoday.com/articles/323387) - managing blood sugar levels - [eating](https://www.niddk.nih.gov/health-information/diabetes/overview/healthy-living-with-diabetes) a healthful, balanced [diet](https://www.medicalnewstoday.com/articles/324416), and being physically active - controlling cholesterol Apart from treating and managing underlying conditions, one way to potentially to prevent fatigue is to ensure people practice good sleep hygiene. Some tips for a good night’s sleep [include](https://www.nia.nih.gov/health/good-nights-sleep): - sleeping with a regular schedule - relaxing before bed - avoiding using electronic devices in the bedroom - keeping the bedroom at a comfortable temperature and using low lighting in the evenings - exercising during the day - avoiding eating large meals before bed and drinking caffeine in the afternoon and evening Making lifestyle changes Lifestyle changes may help people feel less tired during the day. These adjustments [include](https://www.nia.nih.gov/health/fatigue-older-adults): - keeping a fatigue diary to note tiredness patterns - exercising regularly - avoiding napping for more than 30 minutes - quitting smoking - asking for help if they feel overwhelmed People should contact a healthcare professional if they think their fatigue is a symptom of an underlying condition. A person should also speak with a medical professional if their fatigue stops them from participating in typical daily activities, or negatively impacts their life. A healthcare professional can share management tips, diagnose any underlying conditions, and suggest treatment plans. Fatigue, or extreme tiredness, can be due to several conditions, including diabetes, depression, and fibromyalgia. It can stop people from participating in their typical daily activities. However, by treating or managing this symptom, as well as any underlying conditions, people may go on to live their typical lives. A doctor can recommend lifestyle changes and medical treatments to manage the conditions that trigger fatigue.
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