<s>[INST] Hi, I m a 68 year old male that is trying to get an lvad, my dr. is on working towards the same goal. I m stage 4 heart failure patient. I have diabetes that has trouble keeping my blood sugar under control. I have an ICD that has fired more than 50 times,I feel that the odds are starting to be getting to go against me. I had a nuclear x-ray test 6 months. ago and had a 15-20% injection fraction. I am having trouble working any distance when I do exercise sometimes it can take a couple of days to recover. I have a lot light headed Ness, spots in my vision, pressure behind my eyes, in the last couple of months I have had over 500 until sustained arrhythmias. Do I sound like I would qualify for a lvad or a transplant? If not how much farther away am I? My quality of life really sucks and I want to be able do things again. [/INST] dizziness in diabetes is mostly due to severe hypoglycaemia.Thus suggest you to consider revision of your current treatment.Review with latest HbA1c reports </s>