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Detailed history taking revealed that the patient has a
strong family history of diabetes: her mother was diagnosed
with diabetes during her last pregnancy in her late 30s,
but received treatment only in her 40s. She developed heart
and kidney disease as a result of her diabetes. B has 3
sisters and 1 young brother. Her eldest sister became blind
at the age of 28, presenting with vitreous haemorrhage,
and has been treated with insulin since then. Her younger
sister was diagnosed incidentally with diabetes at the
age of 12 when she underwent a nasal polyp operation, and
has been treated with insulin since. Her maternal grandmother
also had diabetes at the age of 60 years and died of unknown
causes in her late 60s.
B is a non-smoker and eats out often. She commutes to work
daily but does not take regular exercise. She complies well
with her diabetes therapy.
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--Interactive
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