PROGNOSIS OF UNCONTROLLED DIABETES AND HYPERTENSION LEADS TO SECONDARY COMPLICATIONS: A CASE REPORT
Huma Naeem, Ashfaq Ahmad, Chaudhary Bakhtawar Khan, Raja Khawar Nawaz
School of Pharmacy, The University Of Lahore, (Islamabad Campus), Islamabad, Pakistan
Keywords: Diabetes, retinopathy, cardiopathy, stroke, hypertension.
Prognosis of uncontrolled Diabetes Mellitus (DM) is a major reason of secondary complications. Which are eventually increasing the morbidities and mortalities in all over the world. The correct dose and protocols most probably reduce the chances of secondary complications. Therefore; we have aimed this case report to rationalize the anti-hyperglycemic drugs. A 51 years old woman with frequent chest pain, headache, neckache, sweating and radiating pain in left arm was presented in clinical setup. She has diabetes since the last 10 years and hypertensive since 5 years. Initially she tried to manage her disease by controlling her diet and then started Tab. Glucophage (Metformin) 250 mg in morning, 500 mg at bed time and Herbesser Tablet (Diltiazem) as antihypertensive agent. Afte some time her medications were changed; Tab Lowplat (Clopidogrel) Tab. Ulcenil, Tab Disprin CV 300 mg, Tab Herbesser 30 mg tid, Tab Nitromint, tab Vastarel MR bid and Atorvastatin 20 mg for 4 weeks. After 6 months, angioplastic report showed the same results. She was admitted again in same hospital for clinical support of her uncontrolled glucose, fluctuating blood pressure and development of secondary complications. It is thus inferred from this case report that the aggressive and irrational medications may develop the secondary complications. The patient with family history of diabetes and hypertension need more care. Thus it is understood that hypertension and diabetes should be treated seriously to avoid the complications.
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