Yalda Yalda

Active Problems:
diabetes – good control
Ischaemic Heart Disease – post CABG
high cholesterol – chol under control
Asthma – stable
Carotid Stenosis – stable <70% left int carotid
Cervical Spondylosis – on off – neck and arm pain
Anaemia – Scopes and capsule endos normal, renal cause
lumbo-sacral spondylosis – L4/5 canal stenosis
Peripheral vascular disease – severe
Strokes – right internal capsule 2006
renal impairment – severe
rotator cuff tears – right shoulder
Gallstones –
vertigo – dizziness settled on stemetil
Dental problems – caries
Low Vitamin D –

Relevant Past History
Colonoscopy – 2010 normal Dr Edwards
CABG – 2007
Carotid endarterectomy – stable
Gastroscopy – 2010 normal Dr Edwards

Relevant Family History
diabetes – brother
Ischaemic Heart Disease – brother

Social
Ex-Smoker –
alcohol – social –

Latest Results Available:
Date of blood test: 27/08/2018
*Fasting blood sugar: 11.1 mmol/L
*Total Cholesterol: 6.4 mmol/L
*Triglycerides: 2.1 mmol/L
*Good Cholesterol (HDL) : 1.9 mmol/L
*Bad Cholesterol (LDL): 3.5 mmol/L
*Average sugar (HbA1c): 6.1% (4/02/2019)

Kidney tests:
eGFR: 44 (27/08/2018)
Urine Albumin Creatinine Ratio (uACR): (12/11/2014)

Diabetes Type: Type 2 Oral
Duration: 11 years

Medications:
Diabetes Medication: Diabex XR 500mg bd
Lipid Medications: Vytorin, Lipidil
BP Lowering Medications: Olmetec
Blood thinners (anti-platelet therapy): Iscover

Management Issues:
Self Monitored Blood Glucose (SMBG)? Not regularly
Smoking Status: Ex-Smoker
Other health problems: dizzibess
Hypoglycaemia? : None so far
CV Risk?: High
Any carer involved? : Nil
Who is the coordinating physician?: GP

Complications Thus Far:
*Eye Damage (Retinopathy)? – None so far
*Kidney Damage (Nephropathy)? – Already present
*Nerve Damage (Neuropathy)? – Already present
*Heart Damage (Coronary Artery Disease)? – Already present
*Heart Failure? – None so far
*Strokes (Cerebrovascular Disease)? – Already present
*High Risk Foot? – Normal Risk Foot

Please note HbA1c not reliable in patients with renal disease