<s>[INST] 36 yo female (my daughter). Just had a dizzy  spell, room spinning. Unusual for her,temporary tingling in both lower extremities and hands (also unusual for her) Skin color good,no signs/ symptoms of stroke,BP 95/55 (normal for her)O2 99%,HR 75,RR 16.Blood Glucose 222 (just ate a big meal about 45 minutes before the event but this still seems too high).She is not diabetic,She does have LUPUS (takes 2 meds but there has been no change in dose or med)took warm bath,laid down and resting comfortably now. No more dizziness but tired and resting. [/INST] Hello Good Evening, Bp 95/55 it's not normal BP she has Hypotension lower blood flow. She is not diabetic if took meal 45 minutes after 3 hours her glucose level low downspout LUPUS the main causal LUPUS there are some complications such as Muscular weakness, joint pain, feeling tire din LUPUS disease patient suffering malnutrition and vitamin deficiency that why he feels tired kindly check her blood investigations CBC RA.FACTOR ANA SERUM ELECTROLYTES THYROID FUNCTION TEST can advise her to take rich proteins diet iron supplements vitamin sat the end consult with rheumatologist </s>