SHORT CASE-2
A 55-year-old male, resident of Nalgonda, who is a farmer by occupation came to the hospital with chief complaints of breathlessness since 6 months • HOPI : Patient was apparently asymptomatic for 20 years then had muscle cramps, increased frequency of urination, and giddiness for which he went to hospital and was diagnosed with DM type II and is on medication (T.Glymiperide + Metformin) since then. 1 year back he had generalized weakness, polydipsia, polyurea, and dizziness, visited the hospital and was found to have uncontrolled DM 2 and is on insulin ( since then. Until 6 months ago he worked as a farmer, waking up at 5 am. he takes his breakfast at 7 am. Then he goes to work, has lunch at 1 pm. returns to home at 6-7 pm & has dinner at 8 pm, and goes to bed at 9 pm. But 6 months back his whole life was changed when he was taken to the hospital after experiencing palpitations, dizziness, blurring of vision, and involuntary movements involving his upper limbs & body, where