Permission for Use

Register for CEU

Diabetes Mellitus Type 2

Patient Presents

Physical Examination

Wt. 217 lbs., ht. 5' 11" (BMI 30), P 76, regular, BP 142/78
Obese.
Head and neck-mild bleeding of gums reported with tooth brushing.
Chest, abdomen and genital examination normal.
Feet: skin dry with calluses on the medial side of the big toes.
Nails normal.
Pulses strong and equal.
Sensation: normal to 10g monofilament.

Laboratory Tests

Urinalysis: 4+ glucose, negative for ketones and protein.
Random blood glucose: 456 mg/dL.
Glycohemoglobin (HbA1c) 16.4%.
Total cholesterol 243 mg/dL, HDL 20 mg/dL, triglycerides 416 mg/dL.