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Diabetic patient aged 56 years
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Diabetic patient aged 56 years

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type 2 diabetes case study

type 2 diabetes case study

Published in Health & Medicine
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  • 1. Diabetic patient aged 56 years diabetes since12 years hypertensive, obese , dyslipidemic Complaining of palpitation, progressive dyspnea,effort intolerance Pain in the rt calf muscle on walking
  • 2. medications• Glipemeride 4mg OD/PO• Metformin 500mg TID/PO• a ِ torvastatin 20 mg OD/PO• Enalapril Hydrochlorothiazide 10/12.5 OD• ASA 150 mg OD• Cinnarazine 25mg OD• Multivitamin Tab OD
  • 3. Clinical data• Bp 160/100• Pulse 100 some extrasystole unfrequent• Random sugar 210mg• Wt 116 kilos• Faint pulse on the rt foot Dorsalis pedis• Bilateral LL soft pitting mild edema
  • 4. LAB• Hba1c 11• Urine proteinuria• Cholesterol 270• Triglyceride 220• HDL 35• LDL 190• UA 9
  • 5. ECG
  • 6. Do you want to ask patient any question• Other Symptoms• Chest pain• Self monitoring• Compliance• Intermittent claudication
  • 7. DD• BP, Diabetes and lipid• IHD• PVD
  • 8. Plan• Proposed Investigations• Cardiac assessment• Peripheral vascular disease• Metabolic control, diabetes, lipid• Diet, improve control, compliance• Health education , feet
  • 9. Proposed medication• Oral hypoglycemic• Insulin• Hypertension• Dyslipidemia• Heart cardiology consultation• PVD vascular surgery
  • 10. Proposed medication• Oral hypoglycemic• Insulin• Hypertension• Dyslipidemia• Heart cardiology consultation• PVD vascular surgery