1. Đani Hadžović,
Federation of Bosnia and Herzegovina
, Bosnia and Herzegovina
Background: Diabetes is chronic and progressive disease which can cause serious complications. Prevalence of end-stage kidney disease is ten times higher in people with diabetes. Diabetic retinopathy is leading cause of vision loss in the working-age adults. People with diabetes are two to three times more likely to have cardiovascular disease than people without diabetes. The complications deprive patient of desired quality of life and cut life expectancy short.
Case presentation: We present a patient who was diagnosed diabetes 13 years ago, had many treatment changes and came to our office with good glycemic control 4 years ago. Patient’s HbA1C was 6,3%, had four to six daytime and up to four nighttime hypoglycemia a month. Patient’s family physician and endocrinologist were satisfied with glycemic control. Patient’s good glycemic control was result of patient’s great effort. But, patient was dissatisfied with body weight and left an impression of hard-working person rather than happy person. We proposed a therapy that we estimated would maintain glycemic control, simplify application of therapy, reduce body weight and offer cardiovascular protection. Two months after initiation of new therapeutic regime, patient maintained good glycemic control, glycemic variability was reduced, as well as body weight and felt satisfied.
Conclusion: This case report is intended as a reminder that we should always keep in mind holistic and individualized management of diabetic patient. Main goals of diabetes management are prevention of complications and optimization of quality of life. These goals can be achieved by good glycemic control, reduction and maintaining healthy body weight, reducing cardiovascular risk and tailoring therapy that fits patients’ needs and wishes. We should try to achieve all the set goals. We shouldn’t stop at the halfway.
Ključne reči :
Tematska oblast:
Medicina
Datum:
28.05.2023.
Informatika u Biomedecini 2023
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