Case Report of Extreme Hypercholesterolaemia and Hypertriglyceridaemia in a Newly Diagnosed Type II Diabetic Man
A 46 year old man presented to a local medical officer due to lethargy, polyuria and hyperglycaemia on capillary blood sampling performed by a site nurse. He worked as a remote oil rig area coordinator. He had no prior medical history and has an unknown family history. He was overweight, mildly hypertensive and had a loud ejection systolic murmur on examination. Initial investigations revealed a fasting plasma glucose of 20.4 mM, total cholesterol of 18.3 mM and triglycerides of 53.4 mM. He underwent urgent cardiological workup, and was medically managed for his dysglycaemia and dyslipidaemia. Five years later, with this treatment, he remains medically fit without the need for percutaneous intervention and had developed no complications from type 2 diabetes mellitus.
Ashraf Saleh
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