It's your decision whether or not to seek medical supervision, but I think for now that getting a handle on your blood glucose readings and reactions to certain food, matching them with spikes, will prove very useful. All your symptoms could be menopausal, and this time of life also plays Old Harry with blood glucose, blood pressure and weight as well as the symptoms you describe. Adjusting your food types will probably be all you need, so to come to that from a position of knowledge empowers you. I had/am having the menopause from hell, and started at about the age you are now. You might have an easy ride through it, you might not, but understand that it shakes up your general health bigtime and should always be factored into any odd symptoms. But adjustments to diet and monitoring blood sugar now will be very helpful.