Focus on diabetes

Have I had a stroke?

Focus on diabetes

Have I had a stroke?

Pat Phillips

Abstract

This series is aimed at helping the busy GP diagnose and manage patients with diabetes and its complications. When managing this patient, what issues would you consider?

Article Extract

Case history

Dean, aged 67 years, presents with facial weakness saying, ‘Have I had a stroke?
I woke up this morning like this.’ He and his wife are worried. He is certainly at high risk of a stroke, having had hypertension for 24 years, type 2 diabetes for 18 years and a myocardial infarct last year. He stopped smoking 10 years ago. After his infarct he lost 3 kg, although at 94 kg and with a height of 1.8 m (BMI, 29 kg/m2) he is still overweight. (A rough guide to a healthy weight is given by subtracting 100 from the height in centimetres. Dean’s height indicates his healthy weight would be around 80 kg.)