Dr. Mobeen presents the clinical presentation of the type II diabetes mellitus. Following presentations and their reasons are discussed:

• Polyuria (increased volume of urine and and increased frequency of urination)
• Reduced blood volume due to polyuria leading to:
  • Polydypsia (increased water drinking due to increased thirst)
  • Postural hypotension (not always)
  • Low blood pressure
• Retinopathies
• Lens blurring and cataract
• Centripital fat distribution. Increased fat on trunk and almost none on the limbs
• Difficulty developing and maintaining erection
• Autonomic system damage leading to:
  • Heart rate abnormalities
  • Abnormal sweating
  • Bladder control issues
    • Incontinence
    • Feeling of incomplete urine voiding
    • No urge to urinate. Pressing bladder causes urination
  • Bowel control issues.
    • Diahrrhea
    • Constipation
• Neuropathies.
  • Tingling in the foot
  • Paraesthesias in the distal lower limb
  • Foot drop.
• Pregnancy issues:
  • Multiple abortions
  • Hydatiform mole
  • Preeclempsia
  • Previous deliveries of large babies
• Acanthosis nigricans
• Eruptive xanthomas
• Blanoposthesis