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Showing posts from April, 2024

40M TYPE 1 DIABETES MELLITUS WITH UNCONTROLLED SUGARS, ATROPHIED PANCREAS

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 A 40 years old male, an auto driver by occupation came to OPD with C/O   loss of consciousness at around 3 am since 20 days C/O nausea since 1 week C/O weakness since 1 week HOPI  :  Patient was apparently asymptomatic 20 days ago then developed hypoglycemic symptoms at around 3 am and patient became unresponsive. Hypoglycemic symptoms were relieved on having some sugar syrup or chocolate. Similar episode has been occurring on a daily basis from the past 1 week. H/O of increased physical activity beyond patient's usual routine from past 20 days                                     ⬇️    H/O of which hypoglycemic event occurred early in morning  No h/o sweating, palpitations during that episode.  No h/o vomiting, blurring of vision during that episode  No h/o of fever No h/o pain abdomen, loose stools  No h/o burning micturition, decreased urine output  No h/o polyurea , polydypsia , polyphagia  No h/o similar complaints in day time  Year -2001   23 years ago, he experienced head tr