62 YEAR OLD FEMALE PATIENT WITH, HIGH BLOOD SUGARS

This is an online E Logbook to discuss our patient's de-identified health data shared after taking his/her guardian's signed informed consent. Here, we discuss our individual patient's problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. This e-log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box are welcome.

—————————————————————————————————————————————-

A 62 year old female patient was admitted into the medicine ward with chief complaints of high blood sugars.

HISTORY OF PRESENT ILLNESS:

Patient initially came to ophthalmology OPD with the complaints of decreased vision since 7 months which was insidious in onset and gradually progressive and was subsequently admitted for cataract surgery.

On routine investigations RBS was found to be 515 mg/dl and was referred to general medicine.

PAST HISTORY:

Patient is known case of Diabetes mellitus type 2 since 10 years and is on TAB. METFORMIN and TAB. GLIMIPERIDE 

No other comorbities

Vitals 

Patient is conscious, coherent, cooperative 

Oriented to time/place/person

Temperature : afebrile

BP: 120/90 mm hg

PR: 82 bpm

GRBS: 518 mg/dl

SYSTEMIC EXAMINATION 

CVS: S1S2 HEARD, NO MURMURS

RS: BAE +, CLEAR

P/A: SOFT, NON TENDER

CNS: NAD

INVESTIGATIONS :

RBS: 151 mg/dl

SEROLOGY: Negative.

    

 26th - 28th April

29th April - 2nd May

INTERVENTION:- Tab Glimi M1 P/O BD @ 7:30AM & 7 :30PM.

TREATMENT:

1. Tab Glimi M1 P/O BD

2. 6th hrly GRBS monitoring .