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