62 year old female patient with high blood sugars

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A 62 year old female patient was admitted into the medicine ward with chief complaints of high blood sugars.

HISTORY OF PRESENT ILLNESS:

Patient initially came to ophthalmology OPD with the complaints of decreased vision since 7 months which was insidious in onset and gradually progressive and was subsequently admitted for cataract surgery.

On routine investigations RBS was found to be 515 mg/dl and was referred to general medicine.

PAST HISTORY:

Patient is known case of Diabetes mellitus type 2 since 10 years and is on TAB. METFORMIN and TAB. GLIMIPERIDE 

No other comorbities

Vitals 

Patient is conscious, coherent, cooperative 

Oriented to time/place/person

Temperature : afebrile

BP: 120/90 mm hg

PR: 82 bpm

GRBS: 518 mg/dl

SYSTEMIC EXAMINATION 

CVS: S1S2 HEARD, NO MURMURS

RS: BAE +, CLEAR

P/A: SOFT, NON TENDER

CNS: NAD

INVESTIGATIONS :

RBS: 151 mg/dl

SEROLOGY: negative 

ADVICE: 7-POINT GRBS MONITORING 

TREATMENT:

1. INJ. HAI according to GRBS

2. 7-point GRBS monitoring