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Interactive case studies
Case one


Patient background


Step 1 of 7:
Patient background
Additional information
Carry out tests
Patient questionnaire
Treatment regimen
Treatment results
Patient follow-up
References



This is A. He is a 56-year old bank teller from Scotland, and was diagnosed with Type 2 diabetes 3 years ago. He is 5 feet 7 inches (1.7 metres) tall and weighs 207 lb (94 kg). Although A has not developed any apparent complications of diabetes, he feels that his treatment is 'not working' because he has continued to gain weight, despite having made dietary modifications. A's family doctor has agreed to refer him to a diabetologist, as he feels that more specialised care will benefit A, especially with regard to any changes in medication that may be necessary.

Patient notes

A has been on NPH insulin for one year (60 U before breakfast). Previous to this he was taking glimepiride, 4 mg/day, for 2 years. During this time, he has gained 3 kg in weight.

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