Prof Dr. Rizwan Ashraf

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Prof Dr. Rizwan Ashraf Prof. Dr.Rizwan Ashraf
Family Physician. Specialist: Management of Hypertension, Diabetes, Hypercho

05/02/2023
Case PresentationA 55-year-old obese male known case of Type 2 Diabetes mellitus for last 12 years presented with compla...
06/07/2022

Case Presentation
A 55-year-old obese male known case of Type 2 Diabetes mellitus for last 12 years presented with complaints of profuse sweating while having his meals. According to the patient, he feels uncomfortable during social gatherings as the sweating is very severe and starts as soon he start eating. Patient slso complaints of burning and numbness of feet. Labs revealed FBS of 280 mg/dl and HbA1C of 8.2. Patient informed that his blood sugar remained uncontrolled mostly despite taking his prescribed antidiabetic medications.
The major concern of patient was profuse sweating. Lipid profile was advised ehich revlead elevated LDL and decreased HDL levels. The weight of the patient was 98 Kg. The patient was councelled about dietry modification and exercise and started on Insulin Aspart and Lantus combination along with oral antidiabetic agent Dapamet 5/1000 mg twice e a day along with Tab Rosuvastatin and Aspirin 75 mg once a day.. Although both FBS and RBS was found to be well controlled after initiating the current management, however the patient concern of profuse sweating remained unsolved. Diagnosis of Autonokic neuropathy was made and patient was councelled accordingly.

Gustatory sweating (GS)
characterized by profuse sweating during or immediately after ingestion of food and is known as a complication of diabetes mellitus (DM).
Gustatory sweating refers to facial sweating after ingestion of food or drink. Gustatory sweating may develop as a symptom of autonomic dysfunction in patients with diabetes. It is reported in long-standing diabetes mellitus with associated complications such as neuropathy.

06/07/2022

Dr Rizwan is now available for online consultation.
Contact details for appointment: whats up 03234457445

Address

House Of Smiles Medical Center, Main Boulevard, Lake City

Opening Hours

Monday 19:00 - 21:00
Tuesday 19:00 - 21:00
Wednesday 19:00 - 21:00
Thursday 19:00 - 21:00
Friday 19:00 - 21:00
Saturday 18:00 - 21:00

Telephone

+923234457445

Website

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