65 M with BPH and DM2

THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT’S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.

A 65 year old male resident of chandur came with chief complaints of decreased urine volume, increased frequency of urination and poor stream since 3 months  .

History of Presenting illness -

Patient was apparently asymptomatic 3 months back he then noticed decreased urine volume, poor stream which is not associated with pain, burning micturition, blood in urine, fever. Frequency of urination is increased. 

Past history-

No similar complaints in the past.                              

He is a known case of diabetes since 20years. Since then he is on medication: 

Sitagliptin 100mg 

Metformin 500m

Dapagliflozin 10 mg 

Inj insulin isophane 48u—46u

Inj insulin glargline 0U—16U

He is a known case of hypertension since 20years, since then he is on medication: 

Olmesartan 20 mg 

Amlodipine 5mg 

Hydrochlorthiazide 12.5mg 

Not a known case of asthma, Tuberculosis, epilepsy, CAD, CVD

Family history- 

Irrelevant 

Personal history- 

Diet- mixed 

Appetite- normal 

Bowel and bladder movements- normal 

Sleep- inadequate 

No addictions 

Vitals - 

Temperature- afebrile

Pulse rate- 80 beats/min 

Respiratory rate-17 cycles/min

Blood pressure- 124/82 mmhg

General examination

Patient’s consent was taken 

Patient was examined In a well lit room. 

He was conscious, coherent , cooperative 

No pallor 

No icterus 

No cyanosis 

No clubbing 

No lymphadenopathy 

Pitting type of pedal edema is present.

Mid arm circumference 28cm 

Triceps skinfold thickness 18 mm

Abdominal girth 96 cm

Fvf 3.26

Mamc: 25.4

Investigations 

REGULAR UPDATES OF BLOOD GLUCOSE LEVELS 

Day 1(3/11/23)

8:00 Am.-143.

12:00 pm - 274.

4:00 pm - 344

6:00 pm (evening) - 304

10:00 pm - 340

Day2 (4/11/23 )

8:00am -192 

12:00 pm -348

4:00 pm - 349

6:00 pm -278

10:00 pm -225 

Day 3 (5/11/23)

8:00 Am - 99

12:00 pm -278

4:00 pm - 327

6:00 pm- 320 

10:00 pm - 183

Day 4 (6/11/23)

7:00 am- 154

11:30 am-323

4:00 pm-408 

6:15 pm-417 

10:00 pm- 302 

Day 5 (7/11/23)

7:20 am- 129 

11:45 am -308

4:00 pm-319 

6:00pm -281

10:00 pm -215 

Day 6 (8/11/23)

8:00 am- 137 

12:00 pm-311 

4:00 pm -366 

6:00 pm - 222

10:00 pm-230 

Day 7 (9/11/23) 

7:30 am -182

6:00pm-299

10:00pm 240

Day 8 (10/11/23) 

8:00 am -166 

12:00 pm- 372 

5:00 pm-356 

7:00 pm-343 

10:00 pm-253 

Day 9(11/11/23) 

8:00 am-142 

12:00 pm -249 

4:00 pm -384 

6:00 pm-413 

10:00pm -283 

Day 10(12/11/23) 

7:30am-125

12:00 pm-277 

4:15pm-310

7:00 -183

10:00 pm-253

Day 11 (14/11/23) 

8:00 am- 95

12:00 pm -235

4:00 pm -316

6:00 pm-300

10:00pm -279

Day 12 (15/11/23) 

8:00 am-125

12:00 pm -217

4:00 pm -357

6:00 pm-310

10:00pm -317

Day 13(16/11/23)

8:00 am-130

12:00 pm -283

4:00 pm -288

6:00 pm-292

10:00pm -305 

Day 14 (17/11/23)

8:00 am-112

12:00 pm -250

4:00 pm -374

6:00 pm-366

10:00pm -348

Day 15(18/11/23) 

8:00 am-110

12:00 pm -269

4:00 pm -307

6:00 pm-241

10:00pm -341

Day 16(19/11/23)

8:00 am-152

12:00 pm -363

4:00 pm -392

6:00 pm-354

10:00pm -382

Day 17(20/11/23)

8:00 am-146

12:00 pm -377

4:00 pm -469

6:00 pm-422

10:00pm -356

Day 18(21/11/23) 

8:00 am-243

12:00 pm -435

4:00 pm -527

6:00 pm-453