<s>[INST] hello. I have a question about hypoglycemia. I am currently taking vimpat and I had gall bladder removal surgery a little over a year ago. I have been experiencing shakeness, blurred vision, lightheadedness, been very hungry lately. I fear that it is low blood sugar.  I have experienced this before I started taking vimpat(about two months ago), but not to this degree. Can it be hypoglycemia? Madeline YYYY@YYYY [/INST] Hi, Thanks for choosing HCM One thing i would like to ask you is are you a diabetic? Nausea , light headed ness , blurred vision are common side effects with vimpat it is not related to hypoglycemia. feel free to contact me for any further query. Hope this helps you.. </s>