n Diabetes Lifestyle - Diabetes mellitus and 'the big C'... : living with diabetes

Volume 2016, Issue 2
  • ISSN :



Mrs NP is 63 years old and was diagnosed with type 2 diabetes mellitus 5 years ago. Before referral to specialist care, her blood glucose was suboptimal, with an HbA1c of 8.5 %. She had no features of chronic complications. At her first visit to me, she complained of ongoing abdominal pain with episodes of constipation followed by diarrhoea. There was no fresh or digested blood in her stools. This complaint of constipation followed by overflow diarrhoea led me to consider that her symptoms could be due to a malignant mass in her colon. I referred Mrs NP to a gastroenterologist for further investigation and she underwent a colonoscopy. The results revealed that she had cancer of the colon, but fortunately, there was no evidence that the cancer had spread. Mrs NP underwent surgery soon after with no complications.

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