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Diabetes Mellitus Type 2

Patient Presents

Family History

Both parents are deceased. His father died at age 69 from a massive stroke. His mother died at age 62 from end-stage kidney disease. She was found to have diabetes at age 48, and had a course marked by major complications including partial amputation of her right foot. She was on dialysis for three years before her death. Alvin was primarily responsible for his mother's care during her later years. He administered her insulin shots twice a day and transported her to and from the dialysis center.

Alvin is the youngest of four children and weighed 10 lb 2 oz at birth. Both parents were overweight, as are his siblings, two of whom have diabetes.

Social History and Habits

He is married and lives at home with his wife. He has three adult children. He works as an auto mechanic. He does not smoke. He drinks an occasional beer. He takes no medications, nutritional supplements or herbal remedies.