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An 83-year-old woman was mauled to death by an XL Bully cross dog in her own home, her family has said, describing how they have lost their 'matriarch'. Shirley Patrick, a great-great-grandmother who had dementia, died in hospital after the dog attack.


"That wasn't true. Lee did live with my mother for about two or three years but he hadn't lived with my mother for over two years. So I want that retracted...he's traumatised because of it." Gwent Police told WalesOnline those arrested - a 20-year-old man, 25-year-old man, 31-year-old man, and a 28-year-old woman, all from the Caerphilly area - remain on police bail and enquiries are ongoing.


A 42 year-old woman with type 1 diabetes for 22 years was married recently, and she and her husband have decided to have a child. Neither had children previously. The woman has hypertension treated with an angiotensin converting enzyme (ACE) inhibitor and a diuretic with maintenance of blood pressure at 120/80 mm Hg. She recently had a 24 hour urine test, and the results showed a total protein of 3 grams (normal,


A 39 year old woman presents for evaluation of gestational diabetes (GDM) at 18 weeks gestation. She reports a history of a prior pregnancy 6 year ago, during which she was previously diagnosed with GDM but was managed with diet control. She reports that an oral glucose tolerance test was performed following the last pregnancy, and that it was normal. HbA1c checked at her first prenatal visit of the current pregnancy was 5.4%. Due to her prior history of GDM her obstetrician ordered a 75g oral glucose tolerance test in the early second trimester which showed:


A 32 year-old woman with a 10-year history of type 1 diabetes is referred to you to discuss insulin pump therapy. She has a very erratic schedule of activity and eating due to work and having a toddler at home. She is also interested in another pregnancy in the next year. Her current insulin regimen consists of insulin glargine 14 units at bedtime and insulin lispro 4 units with each meal. Self-monitoring of blood glucose shows values ranging between 60-250 mg/dL (normal random,


A 64 year-old Caucasian woman with an 11-year history of type 2 diabetes is referred to you for further management. She is currently taking metformin 1000 mg bid, rosuvastatin 10 mg daily, and irbesartan 150 mg daily. Menopause was at age 47, and she has never taken any estrogen replacement therapy. Her examination is significant for a body mass index (BMI) of 32 kg/m2 (normal, 18.5 to 24.9 kg/m2), a blood pressure (BP) of 142/86 mm Hg, and decreased vibratory sensation in her feet with absent Achilles reflexes and pedal pulses. The patient does not have lower extremity edema.


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