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World Diabetes Specialist

Case 09

Patient 9, A 69 year-old male was admitted to the hospital with an ulcer on the right foot for 4 months. Before he came to BCDH he had received some treatment but with little improvement. Physical exam revealed a swollen dark right foot with several ulcers, found between the toes which were leaking. A fungal infection was also seen, and arterial pulses were reduced.

Oral glucose tolerance test

Fasting

0.5 hour

1 hours

2 hours

3 hours

Blood glucose (mmol/L)

6.00

9.00

14.00

12.00

15.00

Insulin (uIu/L)

16.35

27.57

69.71

66.12

92.47

C-peptide (ng/L)

2.85

3.64

10.09

9.92

£¾ 11.5

The patient was diagnosed as type 2 diabetes, gangrene grade §º (right foot), with fungal infection. After one month treatment, his gangrene had healed and the fasting blood glucose levels were 5-7 mmol / L. The patient lost 2 kg body weight. The pulses in his feet were stronger.

 
 
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