Disclaimer:-
This is a de-identified open-online-patient-record with initial information in patient's voice, posted here december 2016 after collecting informed patient consent (form downloadable here) by BMJ Elective Student.
5 years ago I was diagnosed with diabetes type 2. I am 59 year old and I was married at the age of 23 after one year I had flight to weight gain and i delivered my 1st child. After 8 year again gain weight and delivered 2nd child. Though i gained weight my child was under weight, and he was not premature.
After that i gained lots of weight but never sudden increase or decrease, it just continously kept on increasing. Now my BMI is 40+ . recently after starting diabetes medication i again gained weight of around 8-9 kg in 20 days. I was 88-89 and in 20 days i became 97.
5 year ago, i had cataract surgery in both eyes at 1 month interval and i was then at same time diagnosed as diabetic. My vision is very good now.
I decreased sweet and sugar intake in last 20 days, but other food habbits are same, and also i eat very less. My urination is normal. Since 10-15 days i am finding difficulty in breathing. My life style is not very active. Since 10-15 years i have habbit of snoring in sleep and occasionally talking in sleep in very low voice. But now since 10-15 days i am also snoring loudly and talking a lot in sleep in very high voice (volume) as my family say.
Recently in 10-15 days i also got lots of mouth ulcers also and feeling that right side of face is swelled up.
Now along with respiratory problem, very loud snoring and talking in sleep, mouth ulcer, obesity and every time i take medicine, required insulin and food still having hypoglycemia even after food.
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Her HbA1C was within normal.
ENT evaluation - mallampatti grade 2 (soft palate not visible at all)
Grade 2 fatty liver changes
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