INSULIN-DEPENDENT DIABETES MELLITUS (IDDM)

#45Endocrine System

INSULIN-DEPENDENT DIABETES MELLITUS (IDDM)

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A male patient, born in 1956, was admitted with severe IDDM, lower limb angiopathy, and retinopathy. Comorbidities included cervical-thoracic osteochondrosis and chronic cholecystitis.

History: Diagnosed 18 years ago, onset linked to severe stress, initially presenting as a diabetic coma. Requires 56 units of insulin daily.

Complaints: Dry mouth, significant weight loss, leg pain and numbness, drowsiness, and constipation.

Treatment: Comprehensive infrared therapy over 12 days.

Results: By day 3, dry mouth disappeared. By day 8, numbness and leg cramps resolved. By day 10, lower limb pulse became detectable. By day 12, he gained 2 kg. Lab tests normalized, and insulin dosage was reduced from 56 to 36 units daily. A one-year follow-up showed further insulin reduction to 13 units/day.