44 y/o M DM type 2. Dx approx 2 yrs ago. Current meds hu | Figure 1

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44 y/o M DM type 2. Dx approx 2 yrs ago. Current meds humulin 70/30 20 u bid and #Metformin 500 mg qid. Low reading was false low. Any suggestions to improve BS? Per pt, moderate activity 2-3x week.




discolored area noticed on residents abdomen during routine insulin regimen. No recent trauma.



A 40 yrs old female...diagnosed to have diabetes in a rural health center....took herbal medications for 2 mnths... presently fasting and pp are 430 and 447 mg/dl respectively....she insists on taking oral medications only... what do i start her on?



Update on Diabetic with Hypothyroid Here are the child's growth charts (weight on top & Body Mass index on bottom). The sharp drop occurred in under 2 months. Her insulin and thyroid antibodies are on the second slide. Remember her original labs were: HgbA1c >14; Glucose 339; Insulin 7.8. Currently doing well on insulin therapy. Endocrinologist is now controlling medications.



55 yr diabetic,hypertensive ptnt with lesions on legs for 2 month progressiveling increasing,itching is there,ptnt..ptnt is on antihypertensives and insulin,, dx and rx ??



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?