Mom unwell. Once a week. kindly suggest!

Diabetes, Type 2 SX – polyuria, polydipsia, polyphagia. PE – vitals (BP), signs of dehydration, eyes, feet (pulses, ulcers).

DX – • CBC, CMP (Fasting BS), Lipids, U/A w/ MAU, HbA1C, C-Peptide (low or undetectable). Random BS > 200. Or Fasting blood sugar > 126 on two occasions.

TX – FADE: Foot care, ADA diet, Diabetic teaching, exercise. Manage Cholesterol, BP. Meds: Inc Insulin production: sulfonylureas (eg Glipizide 2.5-20mg PO QD-BID, OR 5-10mg ER PO QD, Glyburide 1.25-20mg PO QD, divided QD-BID, start 2.5-5mg PO QD). Glyburide is more likely to cause hypoglycemia than glipizide. Glyburide should rarely be used in the elderly. Dec hepatic gluconeogenesis: biguanides, eg Metformin 850-1000mg PO BID, OR 1000-2000mg ER PO QPM—> NO if Cr > 1.4, or CHF. • Inc insulin production: Thiazolidinediones [pioglitazone (actos), rosiglitazone (avandia)], monitor LFTs. Referral to Endocrinology for management of Diabetic Complications: Nephropathy: urine protein, BUN/Cr. Neuropathy: sensation testing. Retinopathy: fundoscopy, eye exam, optho. Foot Infections and Ulcers - wound management.

get a HbA1C done to knw abot hr sugar control along with hemogram serum electrolyte vit D estimation LFT,KFT and thyroid function test plenty of fluid to be taken