Mіcro- and mаcrovascular complications in a patient with type 2 diabetes mellitus: a case report

Abstract

Late detection and prolonged decompensation of diabetes mellitus lead to the development of severe vascular complications. These include microvascular complications such as retinopathy and nephropathy, and macrovascular complications such as myocardial infarction, stroke, peripheral artery disease, as well as diabetic neuropathy. The presented clinical case clearly demonstrates the connection between the untimely diagnosis of diabetes mellitus and the development of severe, irreversible consequences. It is known that diabetes mellitus leads to damage to target organs: eyes, kidneys, heart, as well as blood vessels and nerve endings. We decided to describe a clinical case of a man who developed typical complications of diabetes mellitus and to show a comprehensive approach to the treatment of a comorbid patient. The prescription of modern therapy according to global recommendations delays the development of complications, but unfortunately, the late diagnosis of diabetes in this patient led to irreversible consequences. It should be remembered that adherence to a nutritional regimen, strict control of glycemia, blood pressure, cholesterol levels, and physical activity can reduce the development of micro- and macrovascular complications in people with type 2 diabetes mellitus.