Case Presentations

Case Presentations

Moderator: Dr Hosseinpanah

Panel Members

• Dr Sarvghadi
• Dr Hadaegh
• Dr Kalbasi
• Dr Jahed

Case 1
Ms. Hosseini

• A 58- year- old women comes to see you for diabetes review. She has had type 2 diabetes for 8 years. She attended the local T2DM education programme at diagnosis.
• Despite lifestyle modification, her BMI is 28
• She is taking MFN 2g /daily ,  Gliclazide 320 mg/daily (good compliance) , atorvastatin 20 mg and ASA 80 mg
• FBS 155 mg/dl ,HbA1c 8.5% , SMBG ?
• No microalbuminuria , beginning of retinopathy, no cardiovascular complication
• BP= 125/75 mmHg

Case 2
Mr Ahmadi

• A 60-year-old man comes to you with history of type 2 DM for 9 years.
• PMH : MI, CHF
•  Two main complaints were increasing arthritis in his hands and decreasing vision due to cataracts.
• Medications : Aspirin, Statin, Captopril, Glibenclamide 10 mg/dl, Metformin 2000mg/dl
• BMI =31 Kg/m2. No evidence of nephropathy

• Laboratory findings : LDL = 60 mg/dl, TG=270 mg/dl, HBA1C=8.2%