Background
Patient V.G., a 47 year old African American male, was diagnosed two years ago with type II diabetes. During a follow up, the patient complained of increased tingling in lower extremities. His medical history shows high or abnormal cholesterol levels (dyslipidemia, hypertension (HTN), obesity, and former smoking habits (stopped 2 years ago). He has no declared history of alcohol use. Living alone in subsidized housing and relying on food stamps and welfare, on occasion he works for extra income.
The potential reason for the complaint of tingling lower extremities could come from not taking his medications for almost a week. He takes several medications: Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD and has a high blood pressure of 160/100. Lipitor is a known cholesterol lowering drug. Doctors prescribe Lisinopril to treat high blood pressure. Januvia helps lower blood sugar and therefore provides some relief for his type II diabetes. Without these medications, already one sees high blood pressure. His blood sugar must be tested along with his cholesterol levels to see if they have risen. The primary concern however, is the elevated blood pressure and the potential elevated blood sugar from immediately stopping medications.
Although high blood sugar can cause tingling in...
References
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Wiesman, J. F. (2016). Peripheral Neuropathy: What It Is and What You Can Do to Feel Better. Baltimore, MD: JHU Press.
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