Diabetes
a)A 50 year old man presents to you feeling tired and more
thirsty lately.
You do a random blood sugar and find it to be 300mg/dl.
Urine dip
Protein –
Glucose +
Ketones –
LeucocytesNitrites What is your diagnosis?
What will you management be?
b) A 60 year old lady presents to diabetic clinic with a FBS of
269mg/dl.
She currently takes metformin 500mg bd.
She complains of numb feet.
What is your management plan?
Why does she have numb feet?
c) You saw a 35 yrs gentleman last week and diagnosed him
with type 2 diabetes.
He started metformin 500mg bd
He now presents with aching muscles
Na 135
K 5.6
BUN 200
Creat 6.0
What is the cause of the symptoms?
Provided by T. Whitfield, 2012
What is the management?
d) A 19 year old male presents with weight loss, polyuria and
polydipsia.
RBS 400mg/dl
Urine dip
Glucose ++
KetonesProtein –
LeucocytesNitritesWhat is the diagnosis?
What is the treatment?
e) A 20 year old male with known diabetes presents feeling ill,
he has had burning urine for the past day.
You note he is sweating and looks very unwell.
What is the likely diagnosis?
How will you treat him?
f) A 55 year old lady with known type 2 diabetes presents with
difficulty seeing, her FBS is 120 mg/dl.
She takes metformin 1g tds, and glibenclamide 10mg od.
BP 120/80.
What is the cause of her symptoms and how do we treat it?
g) A 26 year old known diabetic arrives in clinic, he is well and
you find no problems.
He is concerned as a relative has recently lost a foot to
diabetes, he is concerned this may happen to him and asks
what can he do to prevent this?
Provided by T. Whitfield, 2012
h) A 35 year old man presents with FBS 130mg/dl feeling
well.
BP is 150/89, his urine shows protein + otherwise normal.
He currently takes metformin only.
What is your management plan?
i) A 25 year old man arrives with low GCS 8/15. FBS is 45
mg/dl.
You have no past medical history and there is no guardian
What is your management plan?
j) a young man has been diagnosed with type 1 diabetes.
Your boss has asked you to prescribe insulin.
He weighs 60 kg
How much insulin will you give him?
k) a man presents with FBS 300 mg/dl
he is well bp 135/80
he takes
lente
20 am 10 pm
soluble 10 am 5 pm
what is your management plan?
Provided by T. Whitfield, 2012
Provided by T. Whitfield, 2012