Patient's question:
10 years ago, without obvious cause, the patient developed polydipsia, polyphagia, and increased urine output, accompanied by significant weight loss. In the outpatient clinic, elevated blood glucose was detected, and oral Glyburide and Metformin were prescribed, which improved the condition. In the past month, the patient has experienced numbness in both lower limbs and occasional pricking-like pain. Bowel movements are normal, but sleep is poor. The patient has normal body temperature, but blood pressure is 150/100 mmHg. The abdomen is soft, with no palpable liver or spleen. The lower limbs show pitting edema. Sensation is reduced, knee reflexes are absent, and the Babinski sign is negative. Blood tests show HB 120 g/L, WBC 710^9/L, N 65%, L 35%, P 20010^9/L. Urinalysis shows protein ++, WBC 0~3/high power field, and blood.Doctor's answer:
Hello, according to the situation you mentioned, the possibility of diabetes should be considered. Suggestions for treatment: In terms of treatment, the main focus is on hypoglycemic drug therapy. At the same time, for health education, it is recommended that patients exercise more, maintain a regular diet, and control portion sizes. Additionally, blood sugar levels should be closely monitored.