Concluded Case

Acute infarct

44years female, k/c/o diabetes found heaviness of half of face and heaviness in hand. Consulted near by practioner and now found weakness reduced after starting physiotherapy. Problem bis her sugar levels are not coming down. all the time showing high GRBS since 3 days. these were reports attached done 10 days before where HBA1C and ABG are high, abnormal renal and lipid profile too.... can someone tell how to proceed and she is already on Tab. glimip M2 two times a day, insulin 8units twice a day. expert please guide. She is stable, active and BP is normal and power is also normal on my examination.

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Concluded answer

MRI is s/o acute lacunar infarct explaining numbeness and heaviness of half side of the body. Tab Ecosprin AV 75/20 mg once daily Start Insulin lantus 14 units s/c at night Ultrashort acting insulin as per ur choice thrice daily as per sugar levels Continue charting and adjust insulin dose. Add vit d and vb12 supplements.

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MRI is s/o acute lacunar infarct explaining numbeness and heaviness of half side of the body. Tab Ecosprin AV 75/20 mg once daily Start Insulin lantus 14 units s/c at night Ultrashort acting insulin as per ur choice thrice daily as per sugar levels Continue charting and adjust insulin dose. Add vit d and vb12 supplements.

Thank you doctor
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Uncontrolled DM2 Lacunar infarct left thalamus , recovered. Diabetic nephropathy Suggest Inj Lantus , dosage to be titrated. Inj Actrapid, before each meal,dosage to be titrated. Tab Galvus 50 mg BD Aspirin ,clopidogrel, atorvastatin Cardiac evaluation

Thank you doctor
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Pt already having acute ischaemic stroke With uncontrollable sugar I still not able to understand why sugar was not controlled in 2020 era..!!! Pt required dual anti platelets , statin with insulin both glargin and short acting with regular sugar monitoring Bp control

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