<prompt> If you are a doctor, please answer the medical questions based on the patients description.Im 42 year old woman. had two healthy sons. normal delivery. developed type 2 diabeties have come off all meds and insulin for 1and 7 months. I have palputations when Im relaxing. went and had Ekg echo and stress test. my cholesterol is well in rang and so is my A1c. I have a stressful life. owning and managing two businesses. Am I going thru premental pause  <response>: Hello, Thank you for your query. No, I do think that you are going through menopause. I think the stress is getting too much for you to handle. It is vital to manage this stress by breathing and Meditative techniques. Please seek expert help if you are able to manage on your ownwere you EKG, Echo and stress test normal? have you had panic attacks in the past? any family history of heart disease? have you checked your thyroid levels? do the palpitations persist through the day? how much caffeine do you take in a day? have you ever passed out? I recommend :- frequent walks during the day after your physician gives you the go ahead. This acts as a stress buster. -quiet time for 20 minutes twice a day no phones, meetings, computers.music helps. -limit caffeine to two cups a day. - Chat Doctor. It may take a while for it to become habitual. Managing two businesses cant be easy, and you would have to be in the best form to keep doing that. Take my suggestions seriously and it will help. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health. 