10. Circulatory shock:
It occurs only in sever diabetes. Osmotic diuresis leads to dehydration which causes circulatory shock.
It also occurs in sever diabetes. Due to Kussmaul breathing, large amount of CO2 is lost during expiration which leads to drastic reduction of bicarbonate ions resulting severe acidosis and coma. Increase in the blood glucose level develops hyperosmolar coma.
12. Other symptoms of type 2 diabetes may include:
Slow healing scars or cuts, blurred vision, velvety dark skin changes of the neck, armpit, and groin called acanthosis nigricans, numbness and tingling of the hand and feet, itching of the skin( usually around groin and vaginal area), decreased vision, impotency, frequent yeast infection. 3
All of the Type 2 diabetes medications have the same goal of controlling blood glucose levels over time. Each medication attains that goal in a unique way. Each of them primarily targets a specific process or organ. Several of these medications can be combined to target multiple organs or processes that affect blood glucose levels in necessary situation. 12
Usually, Doctors prescribed metformin after diagnosis. But after three months, If Doctors will not find stabilization of blood glucose level, Doctors may change medication.
Here, in this case, prescribed medications are 1 mg/bid of Repaglinide, 20 mg/day of Ramipril, 81mg/day of aspirin, a multivitamin, and a magnesium supplement.
Repaglinide is used to treat type 2 diabetes. It regulates the level of blood glucose and decrease amount of glucose by increasing secretion of insulin.
Ramipril is an ACE inhibitor which is used to treat hyp...
... middle of paper ...
...t risk for health problems such as heart disease, diabetes, and cancer.
The ADA (American diabetes association) recommends that testing for diabetes should be considered in all adults who are overweight (BMI >25 kg/m2) and have one or more additional risk factors for diabetes.
o Head forward posture, increased thoracic kyphosis and rounded shoulder, which leads to loss of over activity of rotator cuff increases tensile stress over the capsular ligament to which the rotator cuff tendons blend. The chronic inflammation thickens and fibroses the capsule over time.
o Facial appearance: Anxious
o Attitude of the upper extremity: Arm by the side or across the chest, inadequate arm swing during walking.
Therapist should do gait analysis. In shoulder examination, therapist should check for arm swinging is present or not.
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