instruction: hi doctor this is for my dad and we found out that he has diabetes he became very worried which makes him difficult to breathe and cannot get enough sleep and rest at night he had stomachache and he used to skip meals and drink coffee and soft drinks after a blood test we found that he has diabetes I cannot get enough sleep and worried he always feels tired and anxious with breathing difficulty especially if alone he is currently taking metformin and omeprazole
output: hello perhaps your father has misperception about the disease and that is causing his anxieties and worries it is unfortunate he developed but it does not mean it is the end for him as long as he takes his medications does his routine laboratory workups and checks with his physician then there is nothing much to worry about he must be informed that as long as he consults with his physician regularly then there will always be an expert making sure he is doing alright and making sure that no complications will develop because of the disease if the pandemic is causing more worries it is normal he might be aware that his condition puts him at a disadvantage compared to a normal healthy individual but as long as he adheres to social distancing proper handwashing techniques precautionary measures such as wearing masks and pipes personal protective equipment if needed then there is a low risk he might acquire the disease remember diabetes and couid 19 both are preventable diseases he needs to take care of himself properly and to do this is by following his doctor orders and guidelines during the pandemic however I am worried about the declared respiratory rate of 86 normal is at 18 does he smoke any cough or colds previous hospitalizations at this rate it is best to bring him to the er for further evaluation when counting for the respiratory rate it is the one cycle of the rise and fall of the chest so respiratory rate is equivalent to rise and fall of the chest