Jamal Asaad Tunsi-Diabetic Peripheral Neuropathy-(Saudi Arabia)
Name: Jamal Asaad Tunsi
Sex: Male
Age: 61
Country: Saudi Arabia
Diagnosis: 1.Type 2 diabetic peripheral neuropathy；2. Hypertension level 2 high risk group；3. Hyperlipemia；4. Sleep apnea syndrome
Date of Admission: 2015-12-17
Treatment hospital/period: Wu Medical Center/14 days
Before treatment:
Jamal Asaad Tunsi was presented with blood sugar increased for 3 years. He was diagnosed with type 2 diabetes by local hospital. And he took oral medication treatment. And then he presented with polydipsia polyuria, numbness of limb and hypaesthesia. He didn't have the condition like polyphagia and loss of weight. Now, he takes Vildagliptin/Metformin (50mg/800mg), one time after each breakfast and dinner. One time of Metformin 850mg after dinner, the patient's mentality and sleep is good, he has sleep apnea at night. He had two meals per day. Normal defecation. Frequency of urination and 3 times overnight urine.
Admission PE:
Bp: 161/100mmHg; Hr: 80/min, body temperature: 36.4°C. His development and nutrition were good. He was fat. His skin mucosa was complete with no ecchymosis, petechia or yellow stains on skin. There was no cyanosis of his lip. There was no congestion in pharyngeal area. Bilateral tonsils were normal. His thorax was normal. The respiration in both lungs was clear, no dry or moist rales. The heart sound was okay, with no murmur in each valve. His abdomen was distention and soft with no masses. His liver and spleen were not enlarged. There was no edema of both lower limbs. Bilateral arteria of dorsalis pedis could touch. Nervous System Examination: He was alert and his speech was clear. His memory, orientation and calculation were normal. Both pupils were equal in size and round. Both pupils were sensitive to light stimulus. Both eyeballs could move freely to each side. The forehead wrinkle pattern was symmetrical and bilateral nasolabial grooves was symmetrical. The tongue was in the center of oral cavity. The uvula had not deflected. There was no teeth deflection. Drum cheeks didn't leak. His neck was passivity. His four limbs muscle power was level 5 and muscular tension was normal. His four limbs tendon reflexes were declined. Bilateral Babinski were suspiciously positive. His tuning fork vibration sense was declined below left knee. His deep and superficial sensation of right side was normal. His coordinate movement was normal. Meningeal irritation sign was negative. Laboratory, his fasting blood-glucosewas 12.2-14.6 mmol/L. 2 hours after meal，his blood was 15.0-21.0 mmol/L. Blood lipid was increased, ALT68 IU/L, ultrasound showed there was fatty liver (moderate).
Treatment:
Jamal Asaad Tunsi received all of the relevant examinations, he was diagnosed with 1. Type 2 diabetic peripheral neuropathy；2. Hypertension level 2 high risk group；3. Hyperlipemia；4. Moderate fatty liver；5. Hypertrophy of prostate；6. tuberculosis；He received treatment of 3 times mesenchymal stem cells and 3 times neural stem cells implantation. Activate launch his pancreas and neuro recovery and nerve regeneration. Activate his own stem cells and increase the amount of repair cells. He also received treatment to regulate his blood sugar, reduce blood lipid, protection of liver and heart. And also improve the blood circulation and nourish the neurons.
Post-treatment:
After 14 days treatment, the patient’s fasting blood-glucose reduced from 12.2-14.6 mmol/L to 5.0-6.8 mmol/L. 2 hours after meal，his blood sugar reduced from 15.0-21.0 mmol/L to 7.2-11.0mmol/l. His liver function was better than before. Transaminase was reduced. Pain and numbness of lower limbs was getting better. Frequency of urination and overnight urine was obviously better. His spirit and physical strength was getting better. His sleep apnea at night was less.
