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Thota Vaishnavi Roll no 133 Blog : https://thotavaishnavielog.blogspot.com/2023/12/long-case.html OSCE Question: How to prevent complications of Diabetes mellitus? A healthy lifestyle is the key to prevent complications. - Follow a healthy eating plan - physical activity for atleast 150min a week. - Get a regular HbA1C and aim to stay in your targets. - Aim to keep blood pressure 140/90mm Hg - stop smoking or don't start - lose weight if you are obese. - take medicines as indicated. - make regular appointments with health care team. Reference: https://www.cdc.gov/diabetes/library/features/prevent-complications.html Question: Diagnosis of COPD and OSA. OSA From history - snore - silence - sleep cycle The Epworth sleepiness scale Normal <9 Excessive daytime somnolence >9 The STOP BANG tool. Snoring Tiredness Observed apnoeas Pressure Bodymass index Age> 50 Neck size > 41cm in women, > 43cm in male Gender - male Low risk - yes to 0 - 2 questions Intermediate