NON-INSULIN DEPENDENT DIABETES MELLITUS

#52Endocrine System

NON-INSULIN DEPENDENT DIABETES MELLITUS

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Patient, born 1972, upon admission to the clinic, was diagnosed with slowly progressing NIDDM, mild course. Comorbidities include chronic hepatitis in the exacerbation stage, chronic colitis.

Complaints: Dry mouth, weakness, headaches, sleep disturbances, pain in the left hypochondrium.

History: Family history burdened on both maternal and paternal sides. Considers herself ill for 2 years, associates the onset with hepatitis. Previously treated for hepatitis.

Objective Data: General condition relatively satisfactory. Skin jaundiced, lower limb edema, tongue coated with yellow, pharynx and tonsils hyperemic, hypertrophied. Abdomen painful on palpation in the epigastric area, right and left hypochondrium. Liver protrudes 3-4 cm below the costal margin, painful on palpation, medium density, smooth surface, sharp edge. Pasternatsky's sign positive bilaterally, frequent urination, polyuria, bowel movement once every 3-4 days.

Laboratory Tests: Blood sugar 8.4 mmol/L, urine sugar 0.75%. Prothrombin time index (PTI) 100.

Treatment: General GI for 20-40 minutes once a day, daily for 2 weeks, local GI + ZB on liver, kidneys, spine, intestine, pancreas for 5 minutes once a day for 2 weeks. General RC twice a week for 7 minutes, locally on liver, pancreas, kidneys, intestine, head, ovaries, uterus for 2 minutes, thymus 1 minute once a day for 2 weeks, general ZB twice a week for 10 minutes for 2 weeks, locally on liver, kidney, intestine, pancreas for 10 minutes, head for 1 minute once a day for 2 weeks. General KL for 10 minutes every other day for 2 weeks, locally on heels for 20 minutes, pancreas 5x5 minutes twice a day before and after treatment, 1 minute on the nape.

Course of Therapy: Diarrhea appeared on the 3rd day of therapy, lasting for 4 days (drainage).

Results: After 1 week of therapy, the general condition improved, skin color normalized, tongue cleared of coating, pharynx calm, urination and bowel movements normalized. By the end of the 2nd week of treatment, edema disappeared, abdomen painless on palpation, liver not palpable, Pasternatsky's sign negative bilaterally. Blood sugar 4.8 mmol/L, no sugar in urine. PTI 86.