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Story of a patient with sky high blood sugar by hafiz34

View this thread on steempeak.com
· @hafiz34 ·
Story of a patient with sky high blood sugar
He is one of our regular patients. He works in a company which has the contract of waste disposal with the government. He came to our clinic on multiple occasions with his problem; diabetes mellitus. He is a poor, Indian guy of 40 years of age with uncontrolled DM, away from his family and neglected by his company in perspective of his treatment. Every time he came before, he came with very high blood sugar which, a few occasions was too high to be measured by the glucometer. 

This image is made by me using the information acquired during the medical college 

#### His blood sugar records in our clinic :
25.9.2019: FBS (237 mg/dl or 13.2 mmol/l) and HbA1c (10.6%)
29.01.2020: RBS (387 mg/dl or 21.5 mmol/l)
02.03.2020: RBS (352 mg/dl or 19.6 mmol/l)
05.05.2020: RBS (732 mg/dl or 40.7 mmol/l)
05.10.2020: RBS (758 mg/dl or 42.1 mmol/l)

After a few months of oral diabetic medicine 💊 (a combination of three medicines were given!), he was told to start insulin after consulting Government diabetic Polyclinic. His company didn't allow him to go there despite our referral letter. When on 5th May 2020 he came with the features of diabetes ketoacidosis (one of the grave complications of uncontrolled DM), he was given a letter to go to a higher centre for the proper management. Again his company didn't take him.

Yesterday, his blood sugar was the max recorded one in our clinic; 42.1 mmol/l. He was supposed to be treated in any specialised hospital but considering his company's records, he just wanted medicines! I explained to him the condition in details, what he needed to be done urgently and for that where he must need to go. Instead of agreeing with me, he just wanted some medicines! I had to give him something. 

Our clinic is just an outpatient clinic and we don't have all the investigations also. This patient needed a wide range of tests to assess his complications. He is a very thin person and most likely he is a patient of Type 1 DM, not type 2. Last two times, he was either suffering from diabetes ketoacidosis (DKA) or Hyperglycemic hyperosmolar state. First one is a common complication in untreated or poorly treated Type 1 DM and later one in Type 2. Due to the lack of test facilities, our clinic couldn't confirm any of it. His company helped him neither. 

I am worried about him and me also. If he comes with unconsciousness or coma to us, we have to rush to higher centre ourselves with the patient!!!


My today's automaticwin. 50 minutes on the treadmill helped me achieve this.

# COVID-19 statistics
Last updated: 06.10.2020, 19:13 GMT [source](https://www.worldometers.info/coronavirus/)
|	World/Country	|	Total cases	|	Total deaths	|
|	------------	|	------------	|	------------	|
|	     **World**     	|	     35,939,914     	|	    1,051,775    	|
|	     **Oman**     	|	    102,648    	|	   990     	|
|	     **Bangladesh**     	|	     371,631     	|	     5,405     	|


### COVID-19 related useful news/information:
**Mask wearing method:** The correct method of wearing and taking off a mask. The demonstration is shown by Dr Poland [article link containing video](https://newsnetwork.mayoclinic.org/discussion/do-you-know-how-to-safely-wear-and-take-off-a-face-mask/)


Dear readers! You will find a comment from hivewatchers below. I have already made an [apology post](https://peakd.com/hive/@hafiz34/my-hivewatchers-blacklist-my-apology-to-the-hive-community) and appealed to remove my name from the blacklist. Hope that everything will be fine In Sha Allah. 

--- <br/> _This report was published via Actifit app ([Android](https://bit.ly/actifit-app) | [iOS](https://bit.ly/actifit-ios)). Check out the original version [here on actifit.io](https://actifit.io/@hafiz34/actifit-hafiz34-20201006t193910547z)_ <br/> <br><img src="https://cdn.steemitimages.com/DQmXv9QWiAYiLCSr3sKxVzUJVrgin3ZZWM2CExEo3fd5GUS/sep3.png"><br><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmRgAoqi4vUVymaro8hXdRraNX6LHkXhMRBZxEo5vVWXDN/ACTIVITYCOUNT.png">	</tr>	<tr>		<div class="text-center"><b>21142</b></div>	</tr></table><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmZ6ZT8VaEpaDzB16qZzK8omffbWUpEpe4BkJkMXmN3xrF/ACTIVITYTYPE.png">	</tr>	<tr>		<div class="text-center"><pre><b>Aerobics, Daily Activity, House Chores, Moving Around Office, Play with kids/grand kids, Treadmill</b></div></pre></div>	</tr></table><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmdnh1nApZieHZ3s1fEhCALDjnzytFwo78zbAY5CLUMpoG/TRACKM.png">		<td><div class="text-center"><div class="phishy"><h6>Height</h6></div>			<h6>163 cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmfSsFiXem7AxWG1NCiYYPAjtT4Y7LR8FsXpfsZQe7XqPC/h1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Weight</h6></div>			<h6>70 kg</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmVqJVEWUwicFRtkEz2WYq2mDH61mQLDsrzN1yBrKLrpyZ/w1a.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Body Fat</h6></div>			<h6> %</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmPJ2Vvi3mBQXKHoy5CTG7fyLFWMG8JaAZ8y1XZFeDkRUC/bd1.png"></td>	</tr> 	<tr>		<td><div class="text-center"><div class="phishy"><h6>Waist</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmZ2Lfwg77FLaf3YpU1VPLsJvnBt1F8DG8y6t6xUAKnsYq/w1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Thighs</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmbbAAFy6hwwBWqtSmcSwosTyNZi9rcd6GNeugQRY9MF1h/t1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Chest</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmbaoNBT5Unnjqh8JgP6TPj4mFKFnyKkLgP6eDYnnkiLkB/c1.png"></td>	</tr></table><div class="text-center"><img src="https://cdn.steemitimages.com/DQmY67NW9SgDEsLo2nsAw4nYcddrTjp4aHNLyogKvGuVMMH/A-9.png"><a href="https://bit.ly/actifit-app"><img src="https://cdn.steemitimages.com/DQmQqfpSmcQtfrHAtzfBtVccXwUL9vKNgZJ2j93m8WNjizw/l5.png"></a><a href="https://bit.ly/actifit-ios"><img src="https://cdn.steemitimages.com/DQmbWy8KzKT1UvCvznUTaFPw6wBUcyLtBT5XL9wdbB7Hfmn/l6.png"></a></div>
👍  , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , and 983 others
properties (23)
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created2020-10-06 19:39:15
last_update2020-10-06 19:39:15
last_payout2020-10-13 19:39:15
cashout_time1969-12-31 23:59:59
total_payout_value0.253 SBD
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root_title"Story of a patient with sky high blood sugar"
max_accepted_payout1,000,000.000 SBD
vote details (1047)
@actifit ·
Congrats on providing **Proof of Activity** via your Actifit report!

You have been rewarded 103.7908 AFIT tokens for your effort in reaching 21142 activity, as well as your user rank and report quality!
You also received a 1.05% upvote via @actifit account. 
<div>The following boosts were applied to your post:</div><b><div style="display:flex; flex-wrap: wrap;"><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/fitness-bag-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/fitness-bag-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Rank Bag - L1</div><div>+ 10 % User Rank</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/sports-hat-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/sports-hat-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Sports Hat - L1</div><div>+ 15 % AFIT</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/sunglasses-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/sunglasses-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Sunglasses - L1</div><div>+ 15 % AFIT</div><div>+ 1 % SPORTS</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/protein-shake-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/protein-shake-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Protein Shake - L1</div><div>+ 15 % AFIT</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/water-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/water-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Water Bottle - L1</div><div>+ 5   AFIT</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/shoes-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/shoes-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Running Shoes - L1</div><div>+ 10   AFIT</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/sunglasses-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/sunglasses-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Sunglasses - L1</div><div>+ 15 % AFIT</div><div>+ 1 % SPORTS</div></div></div></b><div><i>Boosts increased your AFIT earnings by 42.5558 AFIT</i></div>
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properties (22)
created2020-10-07 09:56:06
last_update2020-10-07 09:56:06
last_payout2020-10-14 09:56:06
cashout_time1969-12-31 23:59:59
total_payout_value0.000 SBD
curator_payout_value0.000 SBD
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root_title"Story of a patient with sky high blood sugar"
max_accepted_payout1,000,000.000 SBD