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A 60-year-old male patient presented with the chief complaint of numbness in both legs, which had been experienced for the past two years and had worsened over the last three months. This complaint was accompanied by persistent fatigue, even without engaging in strenuous physical activity. In addition, the patient reported frequent urination, especially at night (nocturia), and excessive thirst that had occurred for the past five years. The patient denied symptoms such as fever or disturbances in bowel movements. Regarding his medical history, the patient regularly consumed Glimepiride as part of his treatment for diabetes mellitus. Primary data were obtained through auto-anamnesis and physical examination during a home visit. During the visit, the family physician also completed the family folder and patient records to comprehensively document the patient’s health condition. Case assessment was carried out based on an initial holistic diagnosis, followed by continuous monitoring and final evaluation using both quantitative and qualitative approaches. The interventions provided included health education for the patient and his family regarding the causes and pathophysiology of diabetes mellitus. The physician also emphasized lifestyle modifications, such as adopting a balanced diet, engaging in light but regular physical activity, and maintaining adherence to prescribed medication. Furthermore, the patient was educated on the long-term management of diabetes mellitus and the importance of regular medical check-ups. The family physician also explained the potential complications that could arise, such as neuropathy, nephropathy, and retinopathy, so that the patient would be more compliant with treatment and preventive efforts. This comprehensive approach was expected to improve the patient’s quality of life while preventing further disease progression.

The patient came with complaints of frequent tingling in both legs for 2 months. These complaints were accompanied by a body that continuously felt weak even though the patient did not do heavy activities. The patient also complained of nausea but no vomiting, frequent urination especially at night, and often felt thirsty. Other complaints such as fever and bowel disorders were denied by the patient. The patient also did not routinely use insulin medication. Primary data were obtained through autoanamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. The interventions carried out included education about the causes of diabetes mellitus to his family, education about lifestyle modification and management of the disease, and explaining complications that may arise from the patient's disease so that the patient takes regular treatment and makes preventive efforts.

The patient came with complaints that the body often felt weak even though the patient did not do strenuous activities. This complaint has worsened in the last 1 week, causing the patient to be discouraged from doing activities and disrupting his daily activities Patient also complained that his weight was decreasing. Another complaint that was felt was that the hands often felt numb. History of diabetes mellitus in the last 10 years, but the patient admitted that he did not routinely take medicine to control his blood sugar. The KGDS examination obtained in the patient was 324 mg/dl. The patient's BMI was 18.2 kg/m2 and classified as underweight. Primary data was obtained through autoanamnesa and physical examination by conducting home visits, filling out family folders, and filling out patient files. Assessment was carried out based on holistic diagnosis at the beginning, process, and end of the visit quantitatively and qualitatively. Interventions include education about the causes of diabetes mellitus, education about lifestyle modification and the importance of taking medication regularly to control blood sugar levels and explaining complications that may arise from the patient's disease so that patients make preventive efforts.