J.R. is a 58-year old man who presented with a 6-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed on day of his visit and was 359 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes.
Admission non-fasting serum glucose 268 mg/dl (N=
- What are the mechanisms of blurred vision which was part of his initial symptoms?
- Are there correlations between his abnormal blood chemistries and his other symptoms?
- Identify the cardiovascular and microvascular risk factors in the history, physical examination, and laboratory data in this patient.