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World Diabetes Specialist

Case 4

Patient 4, A 32 year-old male with a history of polyuria, thirsty and weight loss for 5 months was admitted to BCDH. Blood tests showed hyperglycemia (23.7mmmol/L) and urine ketone positive (++). Treatment given included insulin by pump, then insulin injections subcutaneously and drugs for to improve microcirculation, insulin receptor activity and preservation of B cell function. For one month, the blood glucose levels were maintained round 5-6mmmol/L. Then therapy was changed to oral antidiabetic medicine. After discharge from the hospital, the patient continue to take a low dose of oral antidiabetic medicine and maintain exercise. His blood glucose levels continue to be controlled adequately.

DATE STOPPED INSULIN THERAPY
Date/Time
Blood glucose mmol/L
time
Jan, 14
8:19
6.3
Before breakfast
9:59
6.4
Half hour after oatmeal
12:39
4.5
Half hour after lunch
18:48
5.0
Before dinner
20:44
5.8
2 hours after dinner
24:15
5.4
Before sleep
Jan, 24
7:05
4.8
Before breakfast
9:06
4.5
2 hours after breakfast
12:20
4.1
Before lunch
14:13
5.2
2 hours after lunch
18:43
4.7
Before dinner
22:41
4.9
2 hours after dinner
2:22
4.7
Before sleep
 
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