Dr. Ajeet Singh (General Practice) needs a second opinion on this medical case.
MODY OR T2DM ??
A 35 year old female presented to OPD with uncontrolled sugars
Her present complaints are decreased appetite, occasional increase in urine frequency and sudden onset paresthesia in different parts of body
K/C/O T2DM from last 12 years, so she was diabetic at the age of 23
RBS - 218
HbA1C - 8.3
FBS in range of 200
TSH - has increased from 5.19 to 6.19 from september to December on 100 mcg
Lipid profile is deranged and mixed Dyslipidemia
Her current medications on which she was from elsewhere -
Ajaduo 25/5 morning
Glimestar PM2 OD morning
I have put her on -
Tab Gluconorm Z XR 1 tab morning and half tablet night
Tab Voglibose 0.2mg with lunch
I am suspecting she could be a case of MODY considering age of onset?
I am not willing to put burden of C peptide fasting