The patient is a 44 year old morbidly obese female that complains of having no energy to do anything. Lately she has been drinking a lot of water because of dry mouth and has been going to the bathroom often to urinate. She noticed her ankles turning dark and swelling, also tingling in her toes.


  • Feeling tired a lot of the time even though you have not done much
  • Wounds heal very slowly
  • Tingling in your hands and feet
  • You have to urinate frequently
  • You are very thirsty
  • Your vision can get blurred 
  • Very hungry most of the day
  • Having very dry skin
  • Weight loss and you are no dieting
  • Prone to getting infections



Insulin is required by the body to convert food into energy.  Without insulin, sugar from food cannot enter the body’s cells and the sugar builds up in the blood.

  • Type l diabetes or insulin dependent diabetes requires the patient take daily insulin
  • Type ll diabetes or non–insulin-dependent diabetes can be controlled with diet, exercise and medications
    • Risk factors for Type ll diabetes are age greater than 40, obesity, family history, race and lack of activity.

Uncontrolled diabetes is the leading cause of death and disability in the United States.

Diabetes can be diagnosed by a fasting blood sugar test. A blood sugar test is taken eight hours after your last meal. If the blood sugar is greater than or equal to 126mg/dl on two different days, a diabetes diagnosis is most likely given.


  • Commit yourself to the medical regiment set by your doctor.
  • Follow a balanced meal plan, eating a moderate amount of food at regular intervals.
  • Limit foods that contain sugar and fats.
  • Do not skip meals.
  • Eat more fruits, vegetables, and fiber.
  • If you are overweight the weight loss is important.
  • Physical activity is also important because it helps the body use sugar.
  • Follow your doctor’s recommendations.


Learn More:

Dr. OBey’s video on Diabetes.
Informational Links can be found here.


Disclaimer: The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a healthcare professional. Please contact your healthcare provider with any questions or concerns you may have regarding any medical condition.

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