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.
|