The Hoechst Sweet & Deadly Challenge

  • SAFPJ Editor SA Academy of Family Practice/Primary Care

Abstract

A 52 year old male consults you for the first time. The history is one of tiredness, slight weight-gain and intermittent blurring of vision. His mass is 78 kg and his height 168 cm. His blood-pressure is a persistent 160,/ 105. Urinalysis shows 1% glucosuria but no ketonuria or proteinuria. His blood-glucose is 14,8 mmol,/l, serum cholesterol 8,4 mmol/ I and serum triglycerides 6,7 mmol/ l. Everything else is normal.
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Case studies