A Common Scenario of Hypertension with Diabetes Mellitus in Rural Thai People: A Case Report
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Abstract
The study aimed to understand both clinical critical points and socio-economic factors contributing to hypertension (HT) in patients with diabetes mellitus (DM) in rural Thailand. A case was selected from Chiang Sean Hospital who was diagnosed as HT with DM. Data were extracted from both medical records and interview with patients to determine the socio-economic factors. A Thai-men aged 52 years with body mass index (BMI) at 25.69 kg/m2, waist 96 cm was diagnosed with HT and DM 4 years ago. He was under the cared for and treated at Chiang Sean Hospital with the blood pressure at 167/110 mmHg and oral enarapril 5 mg. was the first drug of choice. His blood glucose level at the beginning was 123 mg/dl and Metformin 500 mg was given. During the follow up at Chiang Sean Hospital, he still had a high blood pressure with uncontrolled blood sugar level. He also had dyslipidemia and gout with high cholesterol level (244 mg/dl), high triglyceride level (334 mg/dl), high level of low-density lipoprotein (121 mg/dl) and high uric acid level (12.1 mg/dl). He lived in a poor family and had low education. He also lived with poor family support. Health professionals should focus on holistic care approach in treating and caring for patients living with complicated Non-communicable disease (NCD) condition as this is essential to cover both individual pathological and socio-economic surrounding factors for proper case management.
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