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JC 79 T2DM (Medical (Initial Presentation (Symptoms (o 10-12 years ago…

- - - - o 10-12 years ago
        o Started to lose weight – lost 2 stone in a couple of months (used to weigh 100+kg)
        o Polydipsia and polyuria – used to become so thirsty in the night he was taking litres of squash to bed with him each night, going to the toilet multiple times
        o Flash paralysis in legs one day – collapsed to the kitchen floor while cooking, no sensation or movement in either limb
        o Second episode of paralysis
    - - o After second collapse, rushed to GP
        o Blood glucose measured at 22.1 – “should be in a coma”
        o GP also requested urine sample and blood sample
        o Confirmed T2DM
  - - - Very good - has been told many times that he needs to keep taking his meds and not to eat the "wrong things"
        Doesn't feel that eato
    - - Low level understanding of exactly why he needs medication
  - - - Checkup with GP - 1 month ->3->6->12
        
        Blood and urine tests prior to seeing doctors
        
        Tablet Review
        
        Chat and Weigh
        
        Check feet - pulse and sensation
      - Eye care professionals
        
        Films taken twice a year
    - - Never been to hispital on accvount of his daibetes
  - - - Ecxelliet - diabetes is very well controlled
    - - o Very little progression – complains of no negative Sx
        o Stopped polydipsia and polyuria
        o Knows not to eat lots of sweet things & big meals
        o Keeps up with regular tests
        o Otherwise no worries – “doesn’t even think about it”
        o Has lost lots of weight since the diagnosis (100kg->70Kg)
- - - - Friend with diabetes recently died of lung cancer – was worried that it may be related to his diabetes.
  - - - Knows not to eat lots of fatty foods and sugar - has lost lots of weigh and also drinks much less beer than he did.
      - Wife is aware of the issues and cooks food differently
    - - Since diagnosis has tried to exercise a lot more - 12km on excersise bike every day since around time of diagnosis
    - - Hasn't affected his mobility
        
        But he is bothered by pain in his knees, unrelated to diabetes - needs the car to get around
        
        Recently lost his driving lisence for reasons unrelated to his diabetes
        
        No housing changes needed
  - - - Suffers from chronic UTIs and has poor mobility