"Most couples who have unprotected sex at least twice per week are able to become pregnant within one year. 

If pregnancy does not occur after one year, the man and woman are diagnosed as having an infertility problem..."

Read more: https://pamedicouk.com/infertility-most-couples-who-have-unprotected-sex-at-least-twice-per-week-are-able-to-become-pregnant-within-one-year-if-pregnancy-does-not-occur-after-one-year-the-man-and-woman-are-diagnosed-as-ha/

DM type 1 with DKA presented unwell with altered level of consciousness and tachycardia with signs of dehydration (Dry MM, hypotension, slow capillary refill).

First investigation → Capillary blood glucose THEN Arterial Blood Gas.

DM type 2, (age 45 years with polyuria, polydipsia, wt loss) Starts with? →

Hypoglycemics.

Initial: metformin (Biguanide).

**Notes on Hypoglycemics**

• Remember: with bad kidneys (GFR<30), do not use MS (Metformin,

Sulphonylureas).

• Also, Heart has 4 chambers, so with HF (and pancreatitis), do not use 

inhibitors (gliptins).

• Also, the Pie (pioglitazone) comes with the die (Risk of bladder cancer). So,

Pioglitazone has a risk for Bladder Cancer.

• Hypoglycemics that cause weight gain are SPR (Sulphonylureas, Pioglitazone,Repaglinide). The rest cause wt loss except DDP4 inhibitor Which has no effect.

• SPR without the P have risk of hypoglycemia: Sulphonylureas and Repaglinide.

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