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CASE STUDY 3 "DIABETES MELLITUS"


CASE STUDY 3 "DIABETES MELLITUS"

Mr. T is 65 yrs old. He had NIDDM for 17 yrs. He uses :
GLIPIZIDE 15 MG TWICE A DAY
METFORMIN 850 MG THREE TIMES A DAY.

He has glycosuria frequently . The last 2 glycated haemoglobin concentrations have been 11,3 and 12%.

The doctor suggests that the only way to adequately control his diabetes is by insulin injections, but Mr. T dosnt agree this suggestion.

What treatment options should be considered?(1
2)? How might the difficulties over insulin administration be overcome
3) ?What kind of insulin regimen would be appropriate

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