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Interactive case studies
Case three


Patient background


Step 1 of 8:
Patient background
Additional information
Carry out tests
Patient questionnaire
Treatment regimen
Treatment results
Patient follow-up
Further patient follow-up
References


J is 33 years old and lives in Asunción, Paraguay. She has no previous history of diabetes, hypertension, or dyslipidemia, but she has been obese since her teenage years. She is 5 feet 5 inches (1.65 metres) tall and weighs 279 lb (127 kg).

There is a history of diabetes in her family and her 17-year old brother has Type 1 diabetes which was diagnosed at the age of 10. He is treated with multiple insulin injections. Her 29-year old non-obese sister was diagnosed with diabetes last year, and is doing well on twice-daily premixed insulin treatment. Her parents are not diabetic. She was referred to specialist care following a random blood sample test.

Patient notes

J has no outward signs of hyperglycaemia but a random sample test revealed a capillary blood glucose concentration of 234 mg/dl (13 mmol/l). She is not currently receiving any medication.

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