Monday, 5 August 2013

1. A patient with diabetes Q

A 65 year patient presents at an outpatient clinic for evaluation. She is a diabetic since 20 years and is currently on Insulin (isophane insulin 6 U at night & regular insulin 24-30-22 U before food). She was previously on oral hypoglycemic agents but has been on insulin since 6 years.

What are the possible reasons why OHAs would have been discontinued?

She complains of imbalance while walking. What are the additional signs that you want to look for?

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