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  • So Ms Fatima, how have you been doing?
  • Hi dear Dr Jane. I celebrated my 51st birthday last week. You had diagnosed me with diabetes 4 months ago. So I controlled my sweet intake well, and have also been exercising regularly. However, I have been getting pain in legs when I exercise, and hence need rest.  
  • Workup ; 9 Sept 2018 BMI: 27 Kg/sqm BP: 124 / 84 mmHg HbA1c: 8.2% ; FPG: 140 mg/dL ; PPG 240 mg/dL LDL-c: 80 mg/dL ; HDL-c: 50 mg/dL UACR: 100 mg/dL eGFR: 70 mg/dL Treadmill test: Positive Retina: Early nonproliferative diabetic retinopathy Ankle-brachial index: 0.8 (suggests Peripheral Arterial Disease)
  • Current Prescription Metformin: 850 mg BD Telmisartan: 40 mg OD Cilnidipine: 10 mg OD Atorvastatin: 20 mg OD
  • Hmm...What Do I Do Next?
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