See an endocrinologist..I did..my hormones(cortisol) are off..you may be as well.

A1C 4.3. thanks, good suggestion though.

This could be caused by a few different things—ranging from simple dehydration to a direct side effect of your medication.

Here is a breakdown of why this happens and what you can do to narrow it down:

1. Medication Side Effects
Many modern HIV medications list dizziness or "altered sensorium" as a side effect.

The "Integrase" Effect: If you are on a regimen like Biktarvy, dizziness is a documented (though usually manageable) side effect. It often occurs as the body adjusts to the medication or during "peak" levels in the bloodstream.

Timing: If you take your medication at night, the "peak" might be hitting right as you wake up, leading to that morning lightheadedness.

2. Blood Pressure and Hydration
Orthostatic Hypotension: This is a fancy term for a sudden drop in blood pressure when you stand up after lying down. In people living with HIV, this can be more common due to minor autonomic nervous system changes or even certain vitamin deficiencies (like B12).

Hydration: HIV medications are processed through the kidneys or liver, which requires plenty of water. If your waking up dizzy, you might be dehydrated from the night before.

3. Rare but Important: Lactic Acidosis
While rare with newer drugs, a buildup of lactic acid in the blood (Lactic Acidosis) can cause dizziness and lightheadedness.

Note: If your dizziness is accompanied by extreme muscle pain, trouble breathing, or feeling cold in the arms and legs, you should contact her doctor immediately.

Have your pcp check you for diabetes.

When my sugar gets low I get dizzy and usually fall because of the dizziness

Are you taking any medication at night?