I was doing a practice assessment on a friend, who is for the most part healthy. Long term IDDM (30+ yrs), on an insulin pump and a low dose "HTN" med to protect kidneys. So, I'm going along doing my thing, not really expecting to find anything abnormal when I discover that she has trace pitting edema on RLE and 1+ on her LLE. (Not ankles though, just distal tibial area -about half way up). I'm surprised, ask her if this is something that she knew about (no) and advise her to talk to her primary, elevate her feet and consider compression stockings. Beyond that I was at a loss to explain it. Anybody have any thoughts about what was/ is going on? Thanks!
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