Diabetic patient aged 56 years

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type 2 diabetes case study

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Diabetic patient aged 56 years

  1. 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. 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. 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. 4. LAB• Hba1c 11• Urine proteinuria• Cholesterol 270• Triglyceride 220• HDL 35• LDL 190• UA 9
  5. 5. ECG
  6. 6. Do you want to ask patient any question• Other Symptoms• Chest pain• Self monitoring• Compliance• Intermittent claudication
  7. 7. DD• BP, Diabetes and lipid• IHD• PVD
  8. 8. Plan• Proposed Investigations• Cardiac assessment• Peripheral vascular disease• Metabolic control, diabetes, lipid• Diet, improve control, compliance• Health education , feet
  9. 9. Proposed medication• Oral hypoglycemic• Insulin• Hypertension• Dyslipidemia• Heart cardiology consultation• PVD vascular surgery
  10. 10. Proposed medication• Oral hypoglycemic• Insulin• Hypertension• Dyslipidemia• Heart cardiology consultation• PVD vascular surgery

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