Last July, when my high blood sugar finally caught up with me, I started having really severe dizzy spells. I was in the ER several times because I was also very weak and felt like I was going to fall down. The tests that they ran did not show anything but they gave me Meclizine to take. When I finally got my health insurance, I went to a new internist who diagnosed me with vertigo and told me that it could take months for the vertigo to go away and to keep taking the Meclizine. After another month of dizziness, I was concerned and went to see an ENT who told me that I probably had an inner ear problem, but he wanted to run some tests to see if there was any other issues going on. He ran a hearing test, which did show that in my right ear, I did have some hearing loss. He performed balance testing in which I was given a series of tests. One of the tests was to check my blood pressure, an orthostatic hypotension screen was positive, BP standing was 155/95, supine was 135/81. I was also given oculomotor tests which showed high frequency headshake testing revealed right beating nystagmus, pursuit testing showed mild saccadic responses, OPK-fixed showed reduced response in both directions. The ENT then sent me for an MRI of my brain and tacs. The MRI impression was no enhancing mass lesion including no evidence of an acoustic neuroma. After all of this, his suggestion was to eliminate the last medication that was changed which was Lexapro and to send me for gait training/therapy. I stopped the Lexapro and within 1 month, most of my dizzy spells stopped. The gait training/therapy was a great help. For the orthostatic hypotension, I was told to drink more water, take a daily salt tablet and to get up from a lying or sitting position very slow and to wait for 15 seconds before moving. I still have to watch how fast I stand up after sitting or lying down. I still take some Meclizine for dizziness. I obtained copies of all of the testing that was done. All of these tests were very technical and some were hard to understand. You might want to see an ENT for further testing.