55/F Type 2 Diabetic since 11 years
A 55 year old woman a housewife and resident of west bengal belonging to upper middle class according to modified BG prasad classification presented to the OPD with chief complaints of
-fatigue since 2 years
History of present illness
patient was apparently asymptomatic 11 years ago , when she had episodes of insomnia and fatigue , for which she visited the hospital and was incidentally diagnosed with type 2 diabetes mellitus , she was adviced lifestyle modification i.e; diet and exercise , in 2014 she presented with similar complaints and was advised medication. Patient has been regularly taking medication since 9 years
h/o polyphagia
no history of polydipsia, polyuria,nocturia
n/h/o SOB
history of past illness
known case of hypertension since 23 years , uses medication regularly
n/k/c/o tb , asthma , epilepsy
treatment history
-diabetes : metformin and glimepiride
-hypertension : amlodipine
family history
mother is k/c/o hypertension since 56 years
menstrual history
menarch : 13 years
regular periods ; 4/30
not associated with pain
not associated with clots
personal history
diet : mixed
appetite : normal
exercise : walking 1-2 km each day
addictions : tobacco containing paan : 5-6 paan each day since 2005
no known allergies
general examination
patient was c/c/c and oriented to space and time
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