Case reports and blogs: 35 year old male with uncontrolled sugars

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Case:

This is a case of a 35 year old male with chief complaints of loss of sensation in both limbs below knee and upper limbs below elbows since 6 months.

Daily routine- patient is a labourer by occupation.

He wakes up in the morning at 6 am

Has his breakfast (rice)by 8am

Goes to work at 9am

Has his lunch at 1pm

He goes back home by 8pm

Patient has been drinking alcohol since he was 15 years old.He has a habit of drinking throughout the day.

He also chews tobacco.

History of presenting illness:

Patient was apparently asymptomatic 4 years back. He then developed stomach pain where he got admitted to hospital when he got diagnosed as having high blood sugar as an incidental finding and started on oral hypoglycemic drugs then since 6 months he stopped taking medications for

diabetes from then he develop polyphagia, polydypsia

increased frequency of urination present

delayed wound healing present weight loss present

Tingling sensation of both upper & lower limbs present

Loss of sensation present

Numbness present

No Burning micturition

Loss & sensation initially present in B/L feet which progressed to below knees since he stopped medication

Past history:

K/C/o DM since 4 years -Stopped Medication since 6 months due to financial constraints

Not a k/C/O HTN,TB, CAD, Asthma, epilepsy

Personal history: