The mixed up case file on an individual presents, fatigue, weakness, dizziness, cold feet, weight loss, skin infections, itchy ear, decreased vision, change in bowel movements and sexual dysfunction. It is possible the patient could be suffering from yellow fever as the symptom matches that of yellow fever except with the itchy ear, weight loss and sexual dysfunction. However, the patient should have travelled to the South America or the sub-Saharan Africa.
After carefully analysing and comparing all the symptoms, Diabetes type 2 fit the symptoms of the individual.
Damage to the blood vessels and the nerves can occur if there is high blood glucose levels in the body. This usually leads to a tingling or burning pain that spreads from your fingers and toes up through your limbs. If the nerves in the digestive system are affected, the individual may experience nausea, vomiting, diarrhoea or constipation.
Blood vessels in the retina of your eye can become blocked, leaky or grow haphazardly. This prevents the light from fully passing through to your retina resulting in blurring of vision which varies throughout the day depending on blood sugar levels. A long time effect of diabetes can cause cataract.
The better blood sugar levels is controlled, the less chance a person have of developing serious eye problems. Having an annual eye check by a specialist (an ophthalmologist or an optometrist) can help pick up signs of any potentially serious eye problems early on, so that they can be treated.
When blood vessels becomes permeable or blocked, it causes the kidneys to work less effective and can lead to kidney failure.
If there is damage to the nerves, small scratches and cuts are not noticed which can then lead to puffiness...
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... it more sensitive than FPG.
A random plasma glucose test, can also be used to measures blood glucose, no fasting is required for this test. Blood glucose levels of above 200mg/dL along with symptoms
The blood sample received is not a possible match for this individual as blood glucose levels and haematocrit level were normal and the data from the blood sample did not relate to the symptoms.
Works Cited
http://www.nhs.uk/Conditions/Diabetes-type2/Pages/Complications.aspx
Ding EL& Hu FB. Smoking and Type 2 diabetes. Underrecognized risks and disease burden. JAMA 2007; 298: 2675-76 http://ash.org.uk/files/documents/ASH_128.pdf
Diabetes and your heart. British Heart Foundation and Diabetes UK. 2001, http://www.diabetes.org.uk/Guide-to-diabetes/Introduction-to-diabetes/Causes_and_Risk_Factors/
Introduction to diabetes. Diabetes UK www.diabetes.org.uk
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