### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a type 2 diabetic (15yrs). In November, we added AvandaMet 4/1000mg (the addition was the Metphormin) and now Onglyza 5mg. I have been having blood pressure/panic attacks at night - bp raises to 150-75/110 pulse 110-20...this when I am either in public or in bed. My regimen is 1Avandamet twice/day, Gliclazide MR 30mg x 3 in am, and Crestor in am. I have Tecta for stomach pains and Ramipril 2.5mg if either stomach or blood pressure issues arise. The only common denominator MAY be Red Wine - last night, drank 2 5oz glasses, and had an attack. I cut out caffeine this year when this all started in November/December. Been for Stress Test, heart ultrasound, thyroid test - all great. Im 39, not overweight, quit smoking 12yrs ago, poor diet, little exercise. Are one of the meds reacting with REd Wine (the only thing I drink - no beer in 10 yrs)? HELP - Ive been to hospital and they simply release when everything calms back down.

### output:

Hi, So your main concern is suspected panic attack at night. Being a long diabetic you must be well aware of sugar control, just check your blood sugar at midnight night or between 3 and 5 am sometimes midnight hypoglycemia causes hyper Chat Doctor.  Alcohol may be the other reason. Usually causes Atrial fibrillation. Just be careful whether your high pulse is regular or irregular. Apart from above, one of the complications of DM is autonomic neuropathy. It may be the cause of your symptoms. Otherwise, sudden episodic cause of High BP and pulse may be pheochromocytoma, an endocrine tumor from supra renal gland or other body organs. Do your 24 hours urinary metanephrin level check. Hope I have answered your query. Let me know if I can assist you further. 