Diabetes mellitus history

Caution Prostatic hypertrophy, history of urinary retention or obstruction, glaucoma, diabetes mellitus, history of seizures, hyperthyroidism, cardiac/hepatic/renal disease, schizophrenia, increased intraocular pressure, hiatal hernia... 

GR is a 68-year-old African-American male who presents to the emergency department with dizziness and loss of speech that began 1 hour ago. His past medical history is significant for hypertension, diabetes mellitus, hypercholesterolemia, and benign prostatic hypertrophy (BPH). Social history is significant for smoking 1 pack per day for the last 38 years. Current medications include metoprolol 50 mg twice daily, insulin NPH 20 units twice daily, and simvastatin 20 mg daily. 

Type 2 diabetes mellitus since age 36 it is often not well controlled because of poor patient compliance Hypertension x 3 years, currently controlled History of hepatitis B... 

A 73-year-old man with a history of diabetes mellitus, chronic kidney disease, gout, osteoarthritis, and hypertension is hospitalized with possible urosepsis. He recently completed a 10-day course of antibiotics and was ready for discharge when his morning labs showed an increase in BUN and serum creatinine concentration. Upon examination, he was found to have 2+ pitting edema, weight gain, nausea, elevated blood pressure, and rales on chest auscultation. 

Father with a history of type 2 diabetes mellitus, hypertension, and stage 5 chronic kidney disease he died from a myocardial infarction at age 68 mother with a history of hypertension she died from injuries sustained in a motor vehicle accident at the age of 52... 

FIGURE 40-1 Scheme of the natural history of the (3-cell defect in type 1 diabetes mellitus. (Used, with permission, from DiPiro JT, Talbert RL, Yee GC, et al, (eds.) Pharmacotherapy A Pathophysiological Approach. 6th ed. New York McGraw-Hill 2005, Fig. 72M, p. 1339.) yr, year. 

EF is a 45-year-old woman who presents to the dermatologist for evaluation of facial acne. She has a history of a 25 lb (11.36 kg) weight gain, irregular menses, and frequent vaginal yeast infections over the past 2 years. She complains of increased facial hair growth and lower extremity muscle weakness. Physical examination reveals facial acne, facial hirsutism, truncal obesity, thin skin, and purple abdominal striae. Her past medical history is significant for hypertension, type 2 diabetes mellitus, hyperlipidemia, and rheumatoid arthritis. 

The patient is taking glyburide for non-insulin-dependent diabetes mellitus and has been treated in the past for peptic ulcer disease with ranitidine and omeprazole. He has a history of allergy to various types of pollen but reports no allergies to drugs. He reports moderate consumption of alcohol and smoking 2 packs of cigarettes per day. 

Father had stroke at age 59 mother has history of hypertension and diabetes mellitus... 

AD is a 60-year-old woman with a history of poorly controlled diabetes mellitus and MSSA nasal colonization. She weighs 54 kg and is 156 cm tall. She presents today for a hysterectomy. She has no allergies to any medications. The surgeon approaches you for recommendations on prophylactic antibiotic use. 

A detailed family history should be obtained that includes information about premature CHD, hypertension, familial lipid disorders, and diabetes mellitus. 

Glucose levels should be monitored closely when CHCs are started or stopped in patients with a history of glucose intolerance or diabetes mellitus. 

Positive risk factors for CHD (other than high LDL) include Age (men 45 years of age or older women 55 years of age or older or women who go through premature menopause without estrogen replacement therapy) family history of premature CHD smoking hypertension (greater than 140/90 mm Hg) low HDL cholesterol (less than 35 mg/dL) obesity (more than 30% overweight) and diabetes mellitus. 

Special risk patients Administer with caution to patients with diabetes mellitus, hyperthyroidism, prostatic hypertrophy (ephedrine) or history of seizures elderly psychoneurotic individuals, patients with long-standing bronchial asthma and emphysema who have developed degenerative heart disease (epinephrine). 

Diabetes mellitus Use with caution in patients with a history of diabetes mellitus, as management may be more difficult. 

Insulin-dependent posttransplant diabetes mellitus (PTDMj. lnsulin-dependent PTDM was reported in 20% of tacrolimus-treated kidney patients without pretransplant history of diabetes mellitus in the Phase 3 study. The median time to onset of PTDM was 68 days. Insulin dependence was reversible in 15% of these PTDM patients at 1 year and in 50% at 2 years posttransplant. Black and Hispanic kidney transplant patients were at an increased risk of development of PTDM. 

In short, the risks for HF are hypertension, atherosclerotic disease, diabetes mellitus, obesity, metabolic syndrome, use of cardiotoxins and a positive family history of cardiomyopathy. 

Principal risk factors for heart disease are elevated levels of LDL cholesterol, a family history of heart disease, and hypertension. Other risks include being male, smoking, low levels of high density lipoprotein (HDL) cholesterol, diabetes mellitus, hyperhomocystinemia, high levels of lipoprotein a (Lpa), and high blood levels of C-reactive protein. (Table 23.1). C-Reactive protein is a marker for cellular inflammation. 

A 62-year-old man with a history of benign hypertrophic prostate (BPH) has deep pelvic pain and a low-grade fever. He has a history of chronic bilateral osteoarthritis of the knees and was recently diagnosed with diet-controllable diabetes mellitus. The patient denies any drug allergy but is an active smoker and drinks three or four cans of beers daily. 

Julie Singer is a 55-year-old white woman who was admitted to the emergency department in acute distress. A previous physical examination showed hypertension and diabetes mellitus type 2. The patient s present medications include enalapril 40 mg, nifedipine 60 mg, and 100 U insulin. A physical examination revealed prominent ankle edema, a palpable spleen, and hepatomegaly. Chest radiography revealed diffuse cardiac enlargement and left ventricular hypertrophy. Based upon the history and clinical hndings, what is your diagnosis and what treatment do you recommend ... 

A complete medical history and physical examination by a pediatrician or primary care provider should have been completed since the onset of symptoms or within the past year. Chronic medical illnesses such as asthma, cancer, diabetes mellitus, and neurologic disorders increase the risk for psychiatric disorders, par-... 

Thiazolidinediones have benefit in the prevention of type 2 diabetes. The Diabetes Prevention Trial reported a 75% reduction in diabetes incidence rate when troglitazone was administered to patients with prediabetes. Another study reported that troglitazone therapy significantly decreased the recurrence of diabetes mellitus in high-risk Hispanic women with a history of gestational diabetes. 

NIDDM is a much more common disease than IDDM, accounting for about 85—90% of all cases of diabetes mellitus. Whereas NIDDM may be present at any age, the incidence increases dramatically with advanced age over 10% of the population reaching 70 years of age has NIDDM. Patients with NIDDM do not require insulin treatment to maintain life or prevent the spontaneous occurrence of diabetic ketoacidosis. Therefore, NIDDM is frequently asymptomatic and unrecognized, and diagnosis requires screening for elevations in blood or urinary sugar. Most forms of NIDDM are associated with a family history of the disease, and NIDDM is commonly associated with and exacerbated by obesity. The causes of NIDDM are not well understood and there may be many molecular defects which lead to NIDDM. 

An 81-year-old man with no history of diabetes developed diabetes mellitus after using leuprorelin for prostate carcinoma for 6 months. His fasting glucose was 19 mmol/1 and his HbAlc was 9.9%. 

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