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Diabetes Mellitus Type 2

Patient Presents

History of Present Illness

He had been in good health until about two months ago when he started to feel weak and tired more rapidly than usual. On questioning, he admitted to getting up two or three times a night to urinate. He also is often thirsty at those times and drinks a glass of water each time.

His weight had been average through high school, where he had been on the football team. After leaving school, he had gradually gained weight over the years. His appetite remained excellent but he now was losing weight and becoming weak.

The pain in his feet was worse at night and sometimes kept him awake. It was burning in character and sometimes his toes felt numb. The tingling and numbness in his fingers was causing him problems at his work as an auto mechanic because he frequently drops small parts or has difficulty making fine manual adjustments to engines.

His vision was blurry at times, especially in the afternoon.

All other symptoms were negative.

Past History

Appendectomy in 1972. No chronic illnesses.

Last dental visit 6 years ago.