<s>[INST] My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78. [/INST] Hello, From the description, it appears like a fairly severe hypoglycemic episode. Was the blood glucose checked following the episode? Sometimes in patients on insulin and with a very strict blood glucose control, there can be such hypoglycemic episodes. It is better to give a closer look at his diet, blood glucose levels and Insulin dosage. So, as to prevent further such episodes. Hope I have answered your query. Let me know if I can assist you further. </s>