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Diabetes Mellitus Type 2

Risk Factors:
Family history of diabetes (maternal), Advancing age (>45 year old), History of hypertension, 10 smoke pack years and a second hand smoker, High LDL (3.59 mmol/L), Obesity (BMI: 30.3), Sedentary lifestyle,
Intake of foods with high sugar, salt and fat content

Diabetes Type 2

NDX: RISK FOR


UNSTABLE BLOOD Insulin Resistance
GLUCOSE
Elevated HbA1c: 6.1%, Elevated FBS:10.3 mmol/L,
Hyperglycemia Elevated 2-hours post prandial BS: 13.2 mmol/L
Gliclazide & Metformin

Blood Blood Blood sugar exceeds Glucose cannot Gluconeogenesis


Osmolality viscosity renal threshold enter cell activation

Fluid shifting Blood Favors Glycosuria Cellular Lipolysis CHON breakdown


from Flow bacterial Starvation
intracellular to growth
extracellular
Accumulation Muscle Wasting
Osmotic Always of by product
Tissue Infection Diuresis tired
Intracellular Perfusion
DHN
Elevated LDL: 3.59
 Urine Fatty mmol/L, Decreased Toxic to Brain tissue
Output Rosuvastatin Acid HDL: 0.93 mmol/L
Thirst s
Sensation
Acetone
Atherosclerosis Amlodipine &
Polyuria Breath
Losartan
& Dryness
Polydipsia & Wound of skin
Dryness of lips Healing
Micropathy Hypertension

140/80 mmHg
Slow-healing and
recurring fungal Neuropathy Retinopathy Nephropathy
infection characterized
Itraconazole by a pruritic,
& Clobetasol erythematous and Unnoticed Loss of Sensation Blurring of Elevated
scaly lesion on bilateral lesion or Tingling/numbness Vision, Creatinine:
dorsum of the left foot trauma Weakness Cataract 97.8 umol/L
near the second digit formation and
Visual Acuity
of 20/70 OU

NDX: IMPAIRED
SKIN INTEGRITY