Atypical Diabetes Pathopysiology Clinical Presentations and Treatment Options
Type 1 and type 2 diabetes account for up to 90% of all cases of diabetes. However, the remaining “atypical” cases, while rare, appear frequently enough that every practitioner should be aware of them. Some forms of diabetes, distinct from type 1 or type 2 diabetes, are caused by single gene mutations. In addition to monogenic diabetes, other atypical causes of diabetes include: genetic defects in insulin action; diseases of the exocrine pancreas; and endocrinopathies. Atypical Diabetes is divided into three parts, each exploring distinct categories of atypical diabetes, and each part includes case studies that illustrate the clinical challenges presented by different forms of atypical diabetes. This book is a comprehensive resource for the successful diagnosis and treatment of these rare, but significant, forms of diabetes.
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Table of Contents
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CopyrightBy
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PART I: Monogenic Diabetes: Genetic Defects of ß-Cell Development and Function
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Case 1: KCNJ11 – DEND: Neonatal DiabetesByLisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:May Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 2: ABCC8 Neonatal DiabetesByLisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:May Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 3: INS – Insulin Gene Mutation in Neonatal DiabetesByLisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:May Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 4: STAT3 and Neonatal DiabetesByDavid W. Hansen, MD, MPH;David W. Hansen, MD, MPH1Indiana University School of Medicine and Riley Hospital for Children, Indianapolis, INSearch for other works by this author on:Juan C. Sanchez, MD;Juan C. Sanchez, MD1Indiana University School of Medicine and Riley Hospital for Children, Indianapolis, INSearch for other works by this author on:Tamara S. Hannon, MDTamara S. Hannon, MD1Indiana University School of Medicine and Riley Hospital for Children, Indianapolis, INSearch for other works by this author on:
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Case 5: GATA6 — Heart and PancreasByTaylor Triolo, MD;Taylor Triolo, MD1Barbara Davis Center for Childhood Diabetes, University of Colorado, Denver, COSearch for other works by this author on:Kimber Simmons, MDKimber Simmons, MD1Barbara Davis Center for Childhood Diabetes, University of Colorado, Denver, COSearch for other works by this author on:
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Case 6: KCNJ11 R201C – Neonatal DiabetesByLaura Marie Nally, MD;Laura Marie Nally, MD1Division of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CASearch for other works by this author on:Darrell M. Wilson, MDDarrell M. Wilson, MD1Division of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CASearch for other works by this author on:
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Case 7: PDX1 – Pancreatic AgenesisByMay Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Lisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 8: Neonatal Diabetes and Congenital Hypothyroidism: GLIS3ByMay Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Lisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 9: EIF2AK3: Wolcott-Rallison SyndromeByMay Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Lisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Sally S. Ladsaria, BS;Sally S. Ladsaria, BS1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 10: Transient Neonatal DiabetesByElizabeth O. Buschur, MD;Elizabeth O. Buschur, MD1The Ohio State University Division of Endocrinology, Diabetes, & Metabolism, Columbus, OHSearch for other works by this author on:Kathleen Dungan, MD, MPHKathleen Dungan, MD, MPH1The Ohio State University Division of Endocrinology, Diabetes, & Metabolism, Columbus, OHSearch for other works by this author on:
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Case 11: GCK-MODYByMay Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Lisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 12: HNF1A – MODYByMay Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Lisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 13: HNF4A – MODYByMay Sanyoura, PhD;May Sanyoura, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Lisa R. Letourneau, MPH, RD;Lisa R. Letourneau, MPH, RD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Laura Dickens, MD;Laura Dickens, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Siri Atma W. Greeley, MD, PhD;Siri Atma W. Greeley, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Rochelle N. Naylor, MD;Rochelle N. Naylor, MD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Graeme I. Bell, PhD;Graeme I. Bell, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:Louis H. Philipson, MD, PhDLouis H. Philipson, MD, PhD1Departments of Medicine and Pediatrics, The University of Chicago, Chicago, ILSearch for other works by this author on:
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Case 14: MODY as a Possible DiagnosisByIfrah Jamil, MD;Ifrah Jamil, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Janice L. Gilden, MS, MDJanice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:
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Case 15: Could This Be MODY vs. Type 2?ByBushra Z. Osmani, MD;Bushra Z. Osmani, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Alvia Moid, DO;Alvia Moid, DO1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Charles Harris, BSCharles Harris, BS1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:
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Case 16: Misclassification of MODY 3 as Type 1ByLi Song, MD;Li Song, MD1Department of Internal Medicine, Division of Endocrinology, University of Texas Southwestern Medical Center, Dallas, TXSearch for other works by this author on:Jacqueline Nicole McNulty, PharmD;Jacqueline Nicole McNulty, PharmD2Department of Pharmacy, Global Diabetes Program, Parkland Health & Hospital System, Dallas, TXSearch for other works by this author on:Ildiko Lingvay, MDIldiko Lingvay, MD1Department of Internal Medicine, Division of Endocrinology, University of Texas Southwestern Medical Center, Dallas, TX3Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TXSearch for other works by this author on:
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Case 17: Wolfram Syndrome WFS1ByJennifer Sarhis-Avigdor, MD;Jennifer Sarhis-Avigdor, MD1Division of Pediatric Endocrinology, Yale School of Medicine, New Haven, CTSearch for other works by this author on:Eda Cengiz, MD, MHSEda Cengiz, MD, MHS1Division of Pediatric Endocrinology, Yale School of Medicine, New Haven, CTSearch for other works by this author on:
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Case 18: Mitochondrial DiabetesByCatherine Sullivan, MD;Catherine Sullivan, MD1Section of Endocrinology, Diabetes, Nutrition and Weight Loss, Boston University Medical Center, Boston, MASearch for other works by this author on:Sara Alexanian, MDSara Alexanian, MD1Section of Endocrinology, Diabetes, Nutrition and Weight Loss, Boston University Medical Center, Boston, MASearch for other works by this author on:
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Case 19: Mitochondrial Diabetes: m.3243A> G MutationByBrandon P. Galm, MD;Brandon P. Galm, MD1Division of Endocrinology and Metabolism, Department of Medicine, University of Alberta, Edmonton, Alberta, CanadaSearch for other works by this author on:Sandra Sirrs, MD;Sandra Sirrs, MD2Division of Endocrinology and Metabolism, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaSearch for other works by this author on:Roseanne O. Yeung, MD, MPHRoseanne O. Yeung, MD, MPH1Division of Endocrinology and Metabolism, Department of Medicine, University of Alberta, Edmonton, Alberta, CanadaSearch for other works by this author on:
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Case 20: mDNA3243A> GByAnja L. Frederiksen, MD;Anja L. Frederiksen, MD1Department of Clinical Genetics, Odense University Hospital (OUH), Odense, Denmark2Department of Clinical Research, University of Southern Denmark, Odense, DenmarkSearch for other works by this author on:Henning Beck-Nielsen, MDHenning Beck-Nielsen, MD2Department of Clinical Research, University of Southern Denmark, Odense, Denmark3Department of Endocrinology, OUH, DenmarkSearch for other works by this author on:
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Case 21: Maternally Inherited Diabetes and Deafness: 23-Year Follow-UpByIram Ahmad, MD;Iram Ahmad, MD1The University of Washington School of Medicine, Division of Metabolism, Endocrinology, and Nutrition, Seattle, WASearch for other works by this author on:Irl B. Hirsch, MDIrl B. Hirsch, MD1The University of Washington School of Medicine, Division of Metabolism, Endocrinology, and Nutrition, Seattle, WASearch for other works by this author on:
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Case 22: Glycogen Storage Type 1A Presenting with Type 2 DiabetesByDivya Sistla, MD;Divya Sistla, MD1Internal Medicine, UPMC McKeesport Hospital, McKeesport, PASearch for other works by this author on:Mary Korytkowski, MD;Mary Korytkowski, MD2Division of Endocrinology and Metabolism, University of Pittsburgh Medical Center, Pittsburgh, PASearch for other works by this author on:Sann Y. Mon, MD, MPHSann Y. Mon, MD, MPH2Division of Endocrinology and Metabolism, University of Pittsburgh Medical Center, Pittsburgh, PASearch for other works by this author on:
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PART II: Insulin Resistance, Genetic Defects in Insulin Action, and Diseases of Exocrine Pancreas
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Case 23: Type A Insulin ResistanceByAnna Stears, MBBS, DM;Anna Stears, MBBS, DM1National Severe Insulin Resistance Service, Wolfson Diabetes & Endocrine Clinic, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, U.K.Search for other works by this author on:Robert K. Semple, MB, PhDRobert K. Semple, MB, PhD2The University of Cambridge Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, Cambridge, U.K.3The National Institute for Health Research Cambridge Biochemical Research Centre, Cambridge, U.K.Search for other works by this author on:
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Case 24: Donohue Syndrome (Leprechaunism)ByCatherine Peters, MD;Catherine Peters, MD1Department of Endocrinology, Great Ormond Street Hospital, London, U.K.Search for other works by this author on:Robert K. Semple, MB, PhDRobert K. Semple, MB, PhD2The University of Cambridge Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, Cambridge, U.K.3The National Institute for Health Research Cambridge Biochemical Research Centre, Cambridge, U.K.Search for other works by this author on:
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Case 25: Rabson-Mendenhall SyndromeByRachel Williams, MD;Rachel Williams, MD1The University of Cambridge Department of Paediatrics, Box 116, Level 8, Cambridge Biomedical Campus, Cambridge, U.K.Search for other works by this author on:Robert K. Semple, MB, PhDRobert K. Semple, MB, PhD2The University of Cambridge Metabolic Research Laboratories, Wellcome Trust-MRC Institute of Metabolic Science, Cambridge, U.K.3The National Institute for Health Research Cambridge Biochemical Research Centre, Cambridge, U.K.Search for other works by this author on:
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Case 26: Familial Partial Lipodystrophy II (Dunnigan’s Syndrome)ByPeminda K. Cabandugama, MD;Peminda K. Cabandugama, MD1Department of Internal Medicine, Diabetes and Cardiovascular Center, University of Missouri, Columbia, MOSearch for other works by this author on:Stephen A. Brietzke, MD;Stephen A. Brietzke, MD1Department of Internal Medicine, Diabetes and Cardiovascular Center, University of Missouri, Columbia, MOSearch for other works by this author on:Michael J. Gardner, MD;Michael J. Gardner, MD1Department of Internal Medicine, Diabetes and Cardiovascular Center, University of Missouri, Columbia, MOSearch for other works by this author on:
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Case 27: Familial Partial LipodystrophyByKathryn Evans Kreider, DNP, APRN, FNP-BC;Kathryn Evans Kreider, DNP, APRN, FNP-BC1Duke University Medical Center, Durham, NCSearch for other works by this author on:Mark N. Feinglos, MDMark N. Feinglos, MD1Duke University Medical Center, Durham, NCSearch for other works by this author on:
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Case 28: Severe Insulin Resistance and LipodystrophyByKavya Mekala, MD;Kavya Mekala, MD1Section on Endocrinology & Metabolism, Wake Forest School of Medicine, Winston-Salem, NCSearch for other works by this author on:Joseph Aloi, MDJoseph Aloi, MD1Section on Endocrinology & Metabolism, Wake Forest School of Medicine, Winston-Salem, NCSearch for other works by this author on:
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Case 29: Lipodystrophy Due to PPAR-γ Gene MutationByAaron Hodes, MD;Aaron Hodes, MD1Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD2Albert Einstein College of Medicine, Department of Radiology, Jacobi Medical Center, Bronx, NYSearch for other works by this author on:Rebecca Brown, MD;Rebecca Brown, MD3National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MDSearch for other works by this author on:Elaine Cochran, CRNP;Elaine Cochran, CRNP3National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MDSearch for other works by this author on:Mihail Zilbermint, MDMihail Zilbermint, MD1Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD4Johns Hopkins University School of Medicine, Department of Endocrinology, Diabetes and Metabolism, Baltimore, MD5Suburban Hospital, Department of Medicine, Bethesda, MDSearch for other works by this author on:
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Case 30: Congenital Generalized LipodystrophyByHenning Beck-Nielsen, MD, DMScHenning Beck-Nielsen, MD, DMSc1Department of Endocrinology, Odense University Hospital, Odense, Denmark2Department of Clinical Research, University of Southern Denmark, Odense, DenmarkSearch for other works by this author on:
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Case 31: Pancreatogenic DiabetesByNadezhda Zherdeva, MD;Nadezhda Zherdeva, MD1Diabetology Department, National Medical Academy for Postgraduate Education, Kiev, UkraineSearch for other works by this author on:Boris Mankovsky, MD, PhDBoris Mankovsky, MD, PhD1Diabetology Department, National Medical Academy for Postgraduate Education, Kiev, UkraineSearch for other works by this author on:
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Case 32: A Case of Pancreatogenic Diabetes Due to Alcohol AbuseByBushra Z. Osmani, MD;Bushra Z. Osmani, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Alvia Moid, DOAlvia Moid, DO1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:
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Case 33: Post-Pancreatectomy DiabetesByEric Dale Buras, MD, PhD;Eric Dale Buras, MD, PhD1Division of Endocrinology, Department of Medicine, University of Michigan, Ann Arbor, MISearch for other works by this author on:Roma Y. Gianchandani, MD;Roma Y. Gianchandani, MD1Division of Endocrinology, Department of Medicine, University of Michigan, Ann Arbor, MISearch for other works by this author on:Jennifer Wyckoff, MDJennifer Wyckoff, MD1Division of Endocrinology, Department of Medicine, University of Michigan, Ann Arbor, MISearch for other works by this author on:
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Case 34: Diabetes and HemochromatosisByDavide Maggi, MD, PhD;Davide Maggi, MD, PhD1Diabetes Unit,Department of Internal Medicine,IRCCS San Martino and University of Genova, Genova,ItalySearch for other works by this author on:Anna Aleo, MD;Anna Aleo, MD1Diabetes Unit,Department of Internal Medicine,IRCCS San Martino and University of Genova, Genova,ItalySearch for other works by this author on:Lucia Briatore, MD;Lucia Briatore, MD1Diabetes Unit,Department of Internal Medicine,IRCCS San Martino and University of Genova, Genova,ItalySearch for other works by this author on:Chiara Mazzucchelli, MD;Chiara Mazzucchelli, MD1Diabetes Unit,Department of Internal Medicine,IRCCS San Martino and University of Genova, Genova,ItalySearch for other works by this author on:Luigi Fontana, MD;Luigi Fontana, MD1Diabetes Unit,Department of Internal Medicine,IRCCS San Martino and University of Genova, Genova,ItalySearch for other works by this author on:Renzo Cordera, MDRenzo Cordera, MD1Diabetes Unit,Department of Internal Medicine,IRCCS San Martino and University of Genova, Genova,ItalySearch for other works by this author on:
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Case 35: Bronze DiabetesByErin K.P. Meyerhoff, RN, FNP-C, CDEErin K.P. Meyerhoff, RN, FNP-C, CDE1Division of Endocrinology, Diabetes and Metabolism,Department of Medicine,University of Colorado Anschutz Medical Campus,Aurora,COSearch for other works by this author on:
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Case 36: Type 2 Diabetes in Liver Cirrhosis and Hepatocellular CarcinomaBySarena Ravi, MD, MPH;Sarena Ravi, MD, MPH1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago,ILSearch for other works by this author on:Alvia Moid, DO;Alvia Moid, DO1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago,ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago,ILSearch for other works by this author on:Dhauna Karam, MDDhauna Karam, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago,ILSearch for other works by this author on:
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Case 37: Poor Glycemic Control in Insulin-Treated Diabetes Due to Anti-Insulin AntibodiesByDavid S. Church, MRCP;David S. Church, MRCP1The University of Cambridge Metabolic Research Laboratories,Wellcome Trust-MRC Institute of Metabolic Science,Cambridge,U.K.2The National Institute for Health Research Cambridge Biochemical Research Centre,Cambridge,U.K.Search for other works by this author on:Robert K. Semple, MB, PhDRobert K. Semple, MB, PhD1The University of Cambridge Metabolic Research Laboratories,Wellcome Trust-MRC Institute of Metabolic Science,Cambridge,U.K.2The National Institute for Health Research Cambridge Biochemical Research Centre,Cambridge,U.K.Search for other works by this author on:
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Case 38: Cystic Fibrosis–Related DiabetesByRavi Iyengar, MD;Ravi Iyengar, MD1Department of Metabolism, Endocrinology, & Diabetes,University of Michigan,Ann Arbor,MISearch for other works by this author on:Roma Y. Gianchandani, MD;Roma Y. Gianchandani, MD1Department of Metabolism, Endocrinology, & Diabetes,University of Michigan,Ann Arbor,MISearch for other works by this author on:Jennifer Wyckoff, MDJennifer Wyckoff, MD1Department of Metabolism, Endocrinology, & Diabetes,University of Michigan,Ann Arbor,MISearch for other works by this author on:
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Case 39: Pembrolizumab and Diabetic KetoacidosisByFrancesca Cottini, MD;Francesca Cottini, MD1Department of Internal Medicine,Division of Endocrinology, Diabetes & Metabolism,The Ohio State University,Columbus,OHSearch for other works by this author on:Kathleen Dungan, MD, MPHKathleen Dungan, MD, MPH1Department of Internal Medicine,Division of Endocrinology, Diabetes & Metabolism,The Ohio State University,Columbus,OHSearch for other works by this author on:
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Case 40: Glycemic Control in Patient with Multiple Chronic ComplicationsByAmena Iqbal, MD;Amena Iqbal, MD1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Boby G. Theckedath, MD;Boby G. Theckedath, MD1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Alvia Moid, DO;Alvia Moid, DO1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Srikar Rapaka;Srikar Rapaka1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Degaulle DaiDegaulle Dai1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:
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Case 41: Diabetes and Exposure to Agent OrangeByBushra Z. Osmani, MD;Bushra Z. Osmani, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Charles Harris, BSCharles Harris, BS1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:
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Case 42: Pasireotide-Induced HyperglycemiaByKaitlin Brau, MD;Kaitlin Brau, MD1Division of Diabetes, Endocrinology, and Metabolism, University of Nebraska Medical Center, Omaha, NESearch for other works by this author on:Andjela Drincic, MDAndjela Drincic, MD1Division of Diabetes, Endocrinology, and Metabolism, University of Nebraska Medical Center, Omaha, NESearch for other works by this author on:
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Case 43: Hemoglobin A1C vs. FructosamineByAmena Iqbal, MD;Amena Iqbal, MD1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Boby G. Theckedath, MD;Boby G. Theckedath, MD1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Srikar Rapaka;Srikar Rapaka1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Degaulle DaiDegaulle Dai1Diabetes/Endocrinology Division,Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:
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PART III: Endocrinopathies, Immune-Mediated Diabetes, Diabetes of Unknown Cause, and Other Genetic Syndromes Sometimes Associated with Diabetes
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Case 44: Acromegaly and Diabetic KetoacidosisByPadmaja Akkireddy, MD;Padmaja Akkireddy, MD1Division of Diabetes, Endocrinology, and Metabolism,University of Nebraska Medical Center,Omaha,NESearch for other works by this author on:Andjela Drincic, MDAndjela Drincic, MD1Division of Diabetes, Endocrinology, and Metabolism,University of Nebraska Medical Center,Omaha,NESearch for other works by this author on:
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Case 45: Cushing’s Syndrome and DiabetesByKatherine Peicher, DO;Katherine Peicher, DO1Division of Endocrinology,UT Southwestern Medical Center,Dallas,TXSearch for other works by this author on:Luigi Meneghini, MD, MBALuigi Meneghini, MD, MBA1Division of Endocrinology,UT Southwestern Medical Center,Dallas,TXSearch for other works by this author on:
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Case 46: Pheochromocytoma and DiabetesByKatherine Modzelewski, MD;Katherine Modzelewski, MD1Section of Endocrinology, Diabetes and Nutrition,Boston Medical Center and Boston University School of Medicine,Boston,MASearch for other works by this author on:Devin Steenkamp, MDDevin Steenkamp, MD1Section of Endocrinology, Diabetes and Nutrition,Boston Medical Center and Boston University School of Medicine,Boston,MASearch for other works by this author on:
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Case 47: Hypertension plus Hyperglycemia May Be Equal to PheochromocytomaByLicy L. Yanes Cardozo, MD;Licy L. Yanes Cardozo, MD1Division of Endocrinology, Metabolism, and Diabetes,University of Mississippi Medical Center,Jackson,MSSearch for other works by this author on:Vishnu Garla, MD;Vishnu Garla, MD1Division of Endocrinology, Metabolism, and Diabetes,University of Mississippi Medical Center,Jackson,MSSearch for other works by this author on:Lillian F. Lien, MDLillian F. Lien, MD1Division of Endocrinology, Metabolism, and Diabetes,University of Mississippi Medical Center,Jackson,MSSearch for other works by this author on:
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Case 48: Pheochromocytoma and Preexisting DiabetesByPadmaja Akkireddy, MD;Padmaja Akkireddy, MD1Division of Diabetes, Endocrinology, and Metabolism,University of Nebraska Medical Center,Omaha,NESearch for other works by this author on:Andjela Drincic, MDAndjela Drincic, MD1Division of Diabetes, Endocrinology, and Metabolism,University of Nebraska Medical Center,Omaha,NESearch for other works by this author on:
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Case 49: Glucagonoma as a Cause of DiabetesByHenning Beck-Nielsen, MDHenning Beck-Nielsen, MD1Department of Endocrinology, Odense University Hospital, Odense, Denmark2Department of Clinical Research, University of Southern Denmark, Odense, DenmarkSearch for other works by this author on:
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Case 50: Type 1 or Type 2 Diabetes vs. LADAByIfrah Jamil, MD;Ifrah Jamil, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:Janice L. Gilden, MS, MDJanice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago,ILSearch for other works by this author on:
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Case 51: LADA Masquerading as Type 2 DiabetesByNegin Misaghian-Xanthos, MD;Negin Misaghian-Xanthos, MD1University of North Carolina School of Medicine,Division of Endocrinology and Metabolism, Chapel Hill,NCSearch for other works by this author on:Laura Young, MD, PhDLaura Young, MD, PhD1University of North Carolina School of Medicine,Division of Endocrinology and Metabolism, Chapel Hill,NCSearch for other works by this author on:
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Case 52: LADA during the Obesity EpidemicByLavanya Viswanathan, MD;Lavanya Viswanathan, MD1Temple University, Section of Endocrinology, Diabetes and Metabolism, Philadelphia, PASearch for other works by this author on:Cherie Vaz, MDCherie Vaz, MD1Temple University, Section of Endocrinology, Diabetes and Metabolism, Philadelphia, PASearch for other works by this author on:
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Case 53: LADA in Older AdultsByLavanya Viswanathan, MD;Lavanya Viswanathan, MD1Temple University, Section of Endocrinology, Diabetes and Metabolism, Philadelphia, PASearch for other works by this author on:Cherie Vaz, MDCherie Vaz, MD1Temple University, Section of Endocrinology, Diabetes and Metabolism, Philadelphia, PASearch for other works by this author on:
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Case 54: Stiff Person SyndromeByHan Na Kim, MD;Han Na Kim, MD1Division of Endocrinology, Diabetes, & Metabolism, Johns Hopkins University School of Medicine, Baltimore, MDSearch for other works by this author on:Nestoras Mathioudakis, MD, MHSNestoras Mathioudakis, MD, MHS1Division of Endocrinology, Diabetes, & Metabolism, Johns Hopkins University School of Medicine, Baltimore, MDSearch for other works by this author on:
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Case 55: Polyglandular Failure and DiabetesByBushra Z. Osmani, MD;Bushra Z. Osmani, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Alvia Moid, DO;Alvia Moid, DO1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:Degaulle DaiDegaulle Dai1Rosalind Franklin University of Medicine and Science/Chicago Medical School and Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:
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Case 56: Type B Insulin Resistance SyndromeBySusan Ahern, DO;Susan Ahern, DO1Department of Internal Medicine, Division of Endocrinology, University of California Irvine Medical Center, Orange, CASearch for other works by this author on:Hoa Nguyen, MD;Hoa Nguyen, MD1Department of Internal Medicine, Division of Endocrinology, University of California Irvine Medical Center, Orange, CASearch for other works by this author on:Yung Lyou, MD;Yung Lyou, MD1Department of Internal Medicine, Division of Endocrinology, University of California Irvine Medical Center, Orange, CASearch for other works by this author on:Samar Singh, MD;Samar Singh, MD1Department of Internal Medicine, Division of Endocrinology, University of California Irvine Medical Center, Orange, CASearch for other works by this author on:Ping H. Wang, MDPing H. Wang, MD1Department of Internal Medicine, Division of Endocrinology, University of California Irvine Medical Center, Orange, CASearch for other works by this author on:
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Case 57: Remission of Type B Insulin ResistanceByJennifer Giordano, DO;Jennifer Giordano, DO1Division of Endocrinology, Brody School of Medicine at East Carolina University, Greenville, NCSearch for other works by this author on:Maitri Shelly Kalia-Reynolds, DO;Maitri Shelly Kalia-Reynolds, DO1Division of Endocrinology, Brody School of Medicine at East Carolina University, Greenville, NCSearch for other works by this author on:Caroline Houston, MD;Caroline Houston, MD1Division of Endocrinology, Brody School of Medicine at East Carolina University, Greenville, NCSearch for other works by this author on:Robert J. Tanenberg, MD;Robert J. Tanenberg, MD1Division of Endocrinology, Brody School of Medicine at East Carolina University, Greenville, NCSearch for other works by this author on:Rebecca J. Brown, MD;Rebecca J. Brown, MD2National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MDSearch for other works by this author on:Robert K. Semple, MB, PhD;Robert K. Semple, MB, PhD3Institute of Metabolic Science, University of Cambridge, Addenbrooke’s Hospital, Cambridge, U.K.Search for other works by this author on:Fiona J. Cook, MDFiona J. Cook, MD1Division of Endocrinology, Brody School of Medicine at East Carolina University, Greenville, NCSearch for other works by this author on:
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Case 58: Ketosis-Prone Type 2 DiabetesByJignesh Patel, MD;Jignesh Patel, MD1Montefiore Medical Center, Department of Pediatrics, Bronx, NYSearch for other works by this author on:Colette M. Knight, MDColette M. Knight, MD1Montefiore Medical Center, Department of Pediatrics, Bronx, NY2Montefiore Medical Center, Department of Medicine, Division of Endocrinology, Bronx, NYSearch for other works by this author on:
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Case 59: Ketosis-Prone Type 2 Diabetes: Case ReportByAnna Milanesi, MD, PhD;Anna Milanesi, MD, PhD1Division of Endocrinology, VA; Greater Los Angeles Healthcare System, Los Angeles, CA; Department of Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CASearch for other works by this author on:Jane E. Weinreb, MDJane E. Weinreb, MD1Division of Endocrinology, VA; Greater Los Angeles Healthcare System, Los Angeles, CA; Department of Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CASearch for other works by this author on:
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Case 60: Ketosis-Prone DiabetesBySumera Ahmed, MD;Sumera Ahmed, MD1Division of Endocrinology Brody School of Medicine, East Carolina University, Greenville, NCSearch for other works by this author on:Robert J. Tanenberg, MD, FACPRobert J. Tanenberg, MD, FACP1Division of Endocrinology Brody School of Medicine, East Carolina University, Greenville, NCSearch for other works by this author on:
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Case 61: Prader-Willi SyndromeByJanice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School, Captain James A. Lovell Federal Health Care Center, North Chicago, IL2Presence Saints Mary and Elizabeth Medical Center, Chicago, ILSearch for other works by this author on:Bushra Z. Osmani, MDBushra Z. Osmani, MD1Rosalind Franklin University of Medicine and Science/Chicago Medical School, Captain James A. Lovell Federal Health Care Center, North Chicago, ILSearch for other works by this author on:
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Case 62: Bardet-Biedl SyndromeByJennifer J. Iyengar, MD;Jennifer J. Iyengar, MD1Department of Metabolism, Endocrinology, & Diabetes, University of Michigan, Ann Arbor, MISearch for other works by this author on:Roma Y. Gianchandani, MD;Roma Y. Gianchandani, MD1Department of Metabolism, Endocrinology, & Diabetes, University of Michigan, Ann Arbor, MISearch for other works by this author on:Jennifer Wyckoff, MDJennifer Wyckoff, MD1Department of Metabolism, Endocrinology, & Diabetes, University of Michigan, Ann Arbor, MISearch for other works by this author on:
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Case 63: Williams-Beuren Syndrome and DiabetesByMeghan Gaule, MD;Meghan Gaule, MD1Division of Diabetes, Endocrinology, and Metabolism, University of Nebraska Medical Center, Omaha, NESearch for other works by this author on:Andjela Drincic, MDAndjela Drincic, MD1Division of Diabetes, Endocrinology, and Metabolism, University of Nebraska Medical Center, Omaha, NESearch for other works by this author on:
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Case 64: Spinal and Bulbar Muscular Atrophy and DiabetesBySarena Ravi, MD;Sarena Ravi, MD1Rosalind Franklin University of Medicine and Sciences/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago, ILSearch for other works by this author on:Janice L. Gilden, MS, MD;Janice L. Gilden, MS, MD1Rosalind Franklin University of Medicine and Sciences/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago, ILSearch for other works by this author on:Alvia Moid, DO;Alvia Moid, DO1Rosalind Franklin University of Medicine and Sciences/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago, ILSearch for other works by this author on:Boby G. Theckedath, MD;Boby G. Theckedath, MD1Rosalind Franklin University of Medicine and Sciences/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago, ILSearch for other works by this author on:Jennifer Afranie-Sakyi, BS, MSJennifer Afranie-Sakyi, BS, MS1Rosalind Franklin University of Medicine and Sciences/Chicago Medical School and Captain James A. Lovell Federal Health Center, North Chicago, ILSearch for other works by this author on:
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