22 year female with uncontrolled type one diabetes mellitus
A 23 y old female came to opd with chief complaints of body pains, generalized weakness, head ache ,Giddiness , burning sensation in both upper and lower limbs, eyes since 1 month. HISTORY OF PRESENTING ILLNESS- Giddiness - once or twice a week lasting for 5-10 min , not associated with vomiting, tinnitus . No complaints of fever, vomitings. When she is of 7 y age , she had fever and fell unconscious and admitted in hospital , remained in unconscious state till 3 days and there was detected as diabetes mellitus type 1 ,from then she is on continuous medication 30 units human mixtard in morning and 25 units in the night. From 3 months back, she is having high sugars( > 500 mg/dl) Past history : She is detected hypothyroid 6 months back and on medication tyronorm 25 mg. No HTN, TB , epilepsy, CAD. Till her 6 y of age she has h/0 bed wetting daily. Family history: No similar complaints in the family. Mother and father has consanguinous marriage. Vitals: Temp: afebrile