PaJR CGM case report 80F Diabetes,hypertension, hypothyroidism 30 years, neuropathy 2 years Karnataka

 Born March 1944

Hypothyroidism (TSH 100 in 1990)

Diabetes, Hypertension since 2000

Neuropathy with gait ataxia 2 years

Multiple UTIs and most recent on May 2024 

Was on 

1.Glimeperide 4 mg twice daily 

2. AMTAS AT Amlodipine and Atenolol once daily 

3.  GLYCIPHAGE metformin 500 mg once daily 

4. TRIKA alprazolam 0.25 once at bedtime 

5. Thyroxine 100 mcg once daily

 Till recently

HbA1c 8.55 on  6 May 2024 

Started on CGM since 19/5/24 for stringent glucose control toward preventing UTI when unexpectedly found to have hypoglycemias since today after 4 mg of Glimeperide in the morning (which she has been regularly consuming since few years now) 

Summary of PaJR transcripts in October 2024:

On CGM monitoring, the insights obtained for this particular patient was that she was having recurrent hypoglycemia and her glimiperide doses were well optimised to prevent the hypoglycemic episodes and currently the patient's sugar control till 28 August 2024 showed an impeccable Hba1c of 7.2

Update 2026 April

Bipedal edema recent

No shortness of breath

Recent serum albumin in February 2026 shows 4.6

Urine 24 hour protein and creatinine in April 

Chest X-ray and ECG done in April 

Sugars Hba1c in February 2026

Lipid profile February 2026

Hemogram Feb 2026

April 11th 2026: 

Fasting 191

Two hours post breakfast 334

Increased glimiperide from 1.5 before breakfast and 0.5 before dinner

To

2 mg before breakfast and 1 mg before dinner