A 45 yr old lady C/o Whole body burning Increse urination Excessive Thirst RBS 600 Treatment

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DM is not all well controlled. Change the line of treatment. Indoor insulins pump supported IV insulins. Access regularly the glycemic index. Access systemic level of compromise.. Take care of hydration and Electrolyte. B1/B6/B12

Uncontrolled DM, with diabetic neuropathy. Suggest Diabetic profile, assessment of comorbidities, target organ damage. Admission, IV insulin, NS infusions, correction of ketoacidosis and electrolyte abnormalities B1,B6,B12 , amytrptaline .

He might go in for Diabetic Ketoacidosis , Urgent consult,Physician/Diabetologist

Uncontrolled DM2 Do HBa1C, Urine culture and sensitive Tsh, Lipid profile Start OHA with Niftran 100 bd

Undiagnosed DM-2 with neuropathy. TAB. GEMER 2 BD TAB. PIOSIS 30MG OD CAP. NERVIGEN P OD CAP. OPTISULIN OD TAB. CEFUROXIME 500MG BD FOR 5 DAYS.

Need admission sugar levels should be controlled broad spectrum antibiotics

Uncontrolled DM Need ICU admission All blood and urine test regarding DM.

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