Cases on Diabetes for medical students Professor Eiad Alfaris

CASE 1 A 50-year-old man presents to your office to check the results of some routine investigations. FPG : 6.6 mmol/L In another occasion FPG: 6.2 what is your diagnosis ? what further investigations are you going to do ?

CASE 2 A 48-year-old man presents to your office for routine checkup for hypertension. Asymptomatic. On Atenolol 50 mg a day. FH : his father is diabetic BMI 38 Bp: 150/94 FPG: 14.6 mmol/L U and E: normal Cholesterol: 5.7 mmol/L Trig mmol/L How are you going to deal with him?

CASE 3 A 44-year-old woman presents to your office with 2 month H/O loss of weight and polyurea. BMI 20 RBS : 24.4 mmol/L Urine dipstick : glucose: 4+ ketones : nil Protein : ++ what is your diagnosis ? what is your management ?

Case 4 A 22-year-old university student, presents to your office with one week H/O fatigue and nocturia. He lost 6 kg per last month. RBS : 24.6 mmol/L What is the most important next step to do ?

CASE 5 A 52-year-old man is known case of DM presents to your office for follow up. He is on : glibenclamide 10 mg po bid Metformin 1 gm po tid FBS : 16.2 mmol/L Cholesterol : 7.3 mmo/L 2hPP: 21.4 mmol/L LDL-C : 4.8 mmol/L HDL-C : 0.88 mmol/L Trig. 4.6 mmol/L U& E : norm. BMI 33 ? : How are you going to manage this patient ?