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Uri Maldonado - Type 2 Diabetes (USA) Post on March 2, 2012

Author Julia Views Posted at 2014/01/13

Name: Uri Maldonado
Sex: Male
Country: USA
Age: 60
Diagnoses: 1. Type 2 Diabetes, diabetic peripheral neuropathy(DPN)
2. Hypertension level 1 very high risk group 3. hyperlipidemia 4. Fatty liver, dysfunction of the liver 5. Hyperhomocysteinemia 6. BPH (Benign Prostatic Hyperplasia)
Admission Date: 2012-01-30
Days Admitted to Hospital: 21

Identifying Information:
Uri Maldonado is a 60 year old male. His blood glucose level has consistently increased over the past 17 years. He was prescribed hypoglycemic medication to decreases the high glucose levels, but the medication wasn't very effective. Two hours after eating breakfast, the blood sugar level would reach 280mg/dl. Other symptoms included blurred vision, pain in the arms and legs, numbness and fatigue. Uri's brother was previously treated at Wu Stem Cells Medical Center with good results, so he decided to come here for treatment of his symptoms. The medications he is currently taking include Glimepiride/Melbine 4mg/1,000mg, and Gabapentin 300mg. He takes these medications 2 times per day, mornings and evenings. The fasting blood-glucose level is now 8.3-11.1mmol/l. The postprandial blood glucose level is 13.9-15.6mmol/l.

Nervous System Examination:
Uri Maldonado was alert and his speech was clear. His memory, calculation abilities and orientation were normal. Both pupils were equal in size and round. The diameter was 2.5 mms, and the pupils had normal reactions to light stimuli. Both eyeballs had normal movement. The forehead wrinkle pattern was symmetrical. The muscle strength of all four limbs was level 5. The muscle tone of all four limbs was normal. The tendon reflexes of all four limbs were reduced. The bilateral Hoffmann's sign and bilateral palm jaw reflex were negative. The bilateral Babinski's sign was negative. The examination of the deep sensation and shallow sensation of the four limbs' distal end showed hypoesthesia. The skin on the distal end of all four limbs was dry and rough. There was paresthesia lateralis in both knees. Sometimes the sensation resembles a needle-like pain, sometimes numbness. The skin temperature of both lower limbs' distal end was low. The coordinated movements were normal.

Treatment:
Uri received all of the relevant examinations. The blood pressure often exceeded 140/90mmHg. He was diagnosed with 1. Type 2 Diabetes, diabetic peripheral neuropathy (DPN) 2. Hypertension level 1-very high risk group 3. Hyperlipidemia 4. Fatty liver, dysfunction of the liver 5. Hyperhomocysteinemia 6. BPH (Benign Prostatic Hyperplasia). He received treatment to control the blood sugar levels, had his blood pressure lowered, had his body weight controlled and he received treatment for protect the prostate gland. He also received treatment to expand the blood vessels and nourishment for the neurons. This was combined with physical rehabilitation training.

Post-treatment:
Uri is stronger than before. The fatigue and asthenia is not as severe as before. The blood fasting sugar level is stable between 4.3 and 5.7 mmol/L. Two hours after eating, the blood sugar level is stable between 7.0 and 10mmol/l. The deep sensation and epicritic sensation have improved. The skin on the distal end of all four limbs is smoother and shinier. The needle-like pain in both legs has almost disappeared. The numbing sensation is not as severe as before. The skin temperature of both lower limbs' distal end is almost normal. The blood pressure levels are stable between 120-130/80-90mmHg. The liver functioning is almost normal. Uri lost 1Kg weight between the time he was admitted and presently. At present Uri's condition is stable.

Uri Maldonado saw his yonger brother received treatment in Wu Stem Cells Medical Center and had good effect. So he decided to our medical center for treatment. At present, his bother's condition is very good. Abner takes less oral hypoglycimic agents and the blood sugar has been controlled. At the same time, Uri is satisfied with the treatment, he believe his medication will be reduced in the future.

 

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