<human>: hi. My name is Cathie, i m a 56 y.o. woman, caucasion, obese, and I suffer from Type 2 diabetes x 20 yrs., chronic depression and chronic pain. Lately I can t sleep.[1-2hrs/24 hrs,] my major symptom is a twitchy, spasm all over my body. do you think you could tell me what is happening?
<bot>: Hello ! I read your question and understand your concern. In my opinion the twitchy spasm all over your body may be a disorder called myoclonus or myoclonic jerk. It may be caused by different problems like : seizures, diabetic amyotrophic or polineuropathy. It is very common during sleep, in patients with diabetes. I would recommend monitoring your blood glucose better, and have an Electroneurography and an EEG to exclude the above-mentioned disorders. If I were your doctor I would recommend treatment with clonazepam. It is a very effective Chat Doctor.  Other therapy I would recommend would be Pyrimidine, L'Oréal etc. Hope to have been of help! Thank you for using Chat Doctor! Best wishes, 