Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency care for:
Chest pain, severe breathing difficulty, fainting, or a sustained racing heartbeat
New facial drooping, one-sided weakness, severe confusion, or trouble speaking
Deep or difficult breathing, marked drowsiness, or loss of consciousness
Vomiting, abdominal pain, deep breathing, confusion, or high ketone readings can be signs of a serious diabetes emergency.
Follow any emergency plan you have been given and seek urgent care.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Get urgent medical assessment for severe, persistent upper abdominal pain, especially with vomiting.
This may be pancreatitis caused by very high triglycerides.
3
Does any of this apply?
Book an appointment
Arrange routine medical follow-up if you notice increased thirst or urination, unexplained tiredness, worsening abdominal swelling, new muscle weakness, irregular periods, or changes in body-fat distribution.
A family diagnosis of inherited lipodystrophy is also a reason to discuss genetic assessment, even if you have no symptoms.
Every sign above is quoted from the sofidex article on Inherited lipodystrophy. If you are not sure, err upward — it is always reasonable to be checked.