35 years male with uncontrolled sugars

April 04, 2023

35 years male with uncontrolled sugars

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Case:

This is a case of a 35 year old male with chief complaints of loss of sensation in both limbs below knee and upper limbs below elbows since 6 months.

Daily routine- patient is a labourer by occupation.

He wakes up in the morning at 6 am drinks alcohol

Has his breakfast (rice)by 8am

Goes to work at 9am

Has his lunch at 1pm

He goes back home by 8pm and drinks alcohol

Patient has been drinking alcohol since he was 10 years old.He has a habit of drinking throughout the day.

He also chews tobacco.

History of presenting illness:

Patient was apparently asymptomatic 4 years back. He then developed stomach pain where he got admitted to hospital when he got diagnosed as having high blood sugar as an incidental finding and started on oral hypoglycemic drugs then after 6 months he had a fever after from that time he stopped taking medications for diabetes from then he develop polyphagia,polydypsia

increased frequency of urination present

delayed wound healing present weight loss present

Tingling sensation of both upper & lower limbs present

Loss of sensation present

Numbness present

No Burning micturition

Loss & sensation initially present in B/L feet which progressed to below knees since he stopped medication

Past history:

K/C/o DM since 4 years -Stopped Medication since 6 months due to financial constraints

Not a k/C/O HTN,TB, CAD, Asthma, epilepsy

Personal history:

Diet: mixed

Apetite: decreased

Bowel and bladder: increased frequency

Addictions: alcohol since he was 10 years old due to work stress and Started with toddy 1 bottle/ day and later after 10 yrs he started taking whisky Quarter (180ml)initially then later 2 quarter bottles .

Later 10 years ago he started having urge for alcohol when in alcohol absentees he's having palpitations, fearfulness, profusely sweating.

Last drink taken on 22nd of March .

He was talking alcohol inspite of knowing all the dangerous symptoms related with them .

Gutka and khaini one packet per day daily.

GENERAL EXAMINATION:

Patient is conscious,coherent and cooperative, moderately built and moderately nourished.

Pallor: absent

Icterus: absent

Cyanosis: absent

Clubbing: absent

Lymphadenopathy: absent

Pedal edema: absent