Generalised weakness and fatigue

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Jennifer, 58-year-old female farmer presents to her GP with generalised weakness and fatigue. She also complains of feelings of pins and needles in her fingertips. She has been a known diabetic for 22 years. On careful history taking, the GP realises that Jennifer has not been compliant to her diabetes medications for the last 2-3 years. She doesn't smoke and has no history of intoxicants abuse. Her appetite is good, and according to her she has been gaining some weight during the past few months.

On physical examination, her body weight is 65 kg, pulse is 78/minute, BP is 141/85 mmHg, temperature is 36.8C.

Reference no: EM134010578

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