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Diabetes Case Studies: Real Problems, Practical Solutions
Edited by
American Diabetes Association
ISBN print:
978-1-58040-571-3
Publication date:
2015
About This Book
It is said that practicing medicine is both a science and an art. Understanding how our colleagues in medicine approach dilemmas in diabetes care is essential to learning how to provide our patients with effective treatment. In Diabetes Case Studies, leading diabetologists from around the world discuss more than 100 challenging cases from their practices. See the problems these clinicians faced and the solutions they used to solve diagnostic and therapeutic dilemmas.
Diabetes Case Studies: Real Problems, Practical Solutions
Edited by: Boris Draznin, MD, PhD
https://doi.org/10.2337/9781580405713
ISBN (print): 978-1-58040-571-3
Publisher: American Diabetes Association
Download citation file:
Table of Contents
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Part 1: Diagnostic Dilemmas and Problems with Classification
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Case 1: Maturity-Onset Diabetes of the Young (MODY) as a Diagnostic PossibilityBySuzi Kochar, MD;Suzi Kochar, MD1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Health Care Center, North Chicago, IL.Search for other works by this author on:Janice L. Gilden, MS, MD, FCP, FACEJanice L. Gilden, MS, MD, FCP, FACE1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Health Care Center, North Chicago, IL.Search for other works by this author on:
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Case 2: Diagnosis of Coexistent Maturity-Onset Diabetes of the Young in a Patient with Type 1 DiabetesByShazli Azmi, MBChB;Shazli Azmi, MBChB1Institute of Human Development, Center for Endocrinology and Diabetes, University of Manchester.2Department of Medicine and Manchester Diabetes Center, University of Manchester and Central Manchester NHS Foundation Trust.Search for other works by this author on:Rayaz A. Malik, MBChB, PhDRayaz A. Malik, MBChB, PhD1Institute of Human Development, Center for Endocrinology and Diabetes, University of Manchester.2Department of Medicine and Manchester Diabetes Center, University of Manchester and Central Manchester NHS Foundation Trust.Search for other works by this author on:
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Case 3: An Unusual Clinical Presentation of Diabetes Eventually Diagnosed as a Monogenic FormByVince N. Montes, MD;Vince N. Montes, MD1University of Washington, Division of Metabolism, Endocrinology, and Nutrition, Seattle, WA.Search for other works by this author on:Alan Chait, MD;Alan Chait, MD1University of Washington, Division of Metabolism, Endocrinology, and Nutrition, Seattle, WA.Search for other works by this author on:Craig E. Taplin, MDCraig E. Taplin, MD2Department of Pediatrics, University of Washington, Seattle Children’s Hospital, Division of Endocrinology and Diabetes, Seattle, WA.Search for other works by this author on:
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Case 4: A Case of Monogenic DiabetesByRobert H. Slover, MDRobert H. Slover, MD1Professor of Pediatrics, University of Colorado School of Medicine, Denver, CO; Director of Pediatrics, Barbara Davis Center for Childhood Diabetes; Wagner Family Chair in Childhood Diabetes.Search for other works by this author on:
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Case 5: Recurrent Ketoacidosis: Lessons from Multiple Clinical PresentationsByEli Ipp, MD;Eli Ipp, MD1Division of Endocrinology, Los Angeles Biomedical Research Institute at Harbor–UCLA Medical Center, Los Angeles, CA.Search for other works by this author on:Kristina Djekic, MSKristina Djekic, MS1Division of Endocrinology, Los Angeles Biomedical Research Institute at Harbor–UCLA Medical Center, Los Angeles, CA.Search for other works by this author on:
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Case 6: Ketoacidosis in a Patient with Type 1 Diabetes on a Low-Calorie Meal Replacement DietByKaty Brown, DO;Katy Brown, DO1Fellow in Endocrinology, University of Colorado, School of Medicine, Denver, CO.Search for other works by this author on:Daniel Bessesen, MDDaniel Bessesen, MD2University of Colorado, School of Medicine, Chief of Endocrinology, Denver Health Medical Center, Denver, CO.Search for other works by this author on:
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Case 7: Reevaluation after Ketoacidosis PresentationByPaulina Cruz-Bravo, MD;Paulina Cruz-Bravo, MD1Fellowship in Endocrinology, Diabetes and Metabolism, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO.Search for other works by this author on:Janet B. McGill, MDJanet B. McGill, MD1Fellowship in Endocrinology, Diabetes and Metabolism, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO.Search for other works by this author on:
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Case 8: Metabolic Syndrome-Related Comorbidities Typical of Older Adulthood Complicate Diabetic Ketoacidosis in a Youth with Type 2 DiabetesByKristen Nadeau, MD, MSKristen Nadeau, MD, MS1University of Colorado Denver/Children’s Hospital Colorado, Aurora, CO.Search for other works by this author on:
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Case 9: Not Your Usual Diabetic KetoacidosisByRuchi Gaba, MD;Ruchi Gaba, MD1Division of Endocrinology Diabetes and Metabolism, Baylor College of Medicine, Houston, TX.Search for other works by this author on:Susan L. Samson, MD, PhD;Susan L. Samson, MD, PhD2Department of Medicine, Baylor College of Medicine, Houston, TX.Search for other works by this author on:Alan J. Garber, MD, PhD, FACEAlan J. Garber, MD, PhD, FACE3Departments of Medicine, Molecular and Cellular Biology, Biochemistry and Molecular Biology, Baylor College of Medicine, Houston, TX.Search for other works by this author on:
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Case 10: Ketosis-Prone DiabetesByDavid Saxon, MD;David Saxon, MD1Division of Endocrinology, Diabetes and Metabolism, University of Colorado, Aurora CO.Search for other works by this author on:Neda Rasouli, MDNeda Rasouli, MD1Division of Endocrinology, Diabetes and Metabolism, University of Colorado, Aurora CO.2Denver Veterans Affairs Medical Center, Denver CO.Search for other works by this author on:
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Case 11: From a Total Daily Dose of Insulin of 415 Units to No Insulin: A Case of Ketosis-Prone DiabetesByCaroline T. Nguyen, MD;Caroline T. Nguyen, MD1Keck School of Medicine, Division of Endocrinology, Diabetes, and Metabolism, University of Southern California, Los Angeles, CA.Search for other works by this author on:Jorge H. Mestman, MDJorge H. Mestman, MD1Keck School of Medicine, Division of Endocrinology, Diabetes, and Metabolism, University of Southern California, Los Angeles, CA.Search for other works by this author on:
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Case 12: The Worst Case Scenario: Severe HHS in a Relatively Young ManByElizabeth Herman, MD;Elizabeth Herman, MD1Boston University School of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston MA.Search for other works by this author on:Marie E. McDonnell, MDMarie E. McDonnell, MD1Boston University School of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston MA.Search for other works by this author on:
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Case 13: Unusual Cause of New-Onset DiabetesByKelsey M. Shikuma, MD;Kelsey M. Shikuma, MD1Keck School of Medicine, Division of Endocrinology, Diabetes and Metabolism, University of Southern California, Los Angeles, CA.Search for other works by this author on:Jorge H. Mestman, MDJorge H. Mestman, MD1Keck School of Medicine, Division of Endocrinology, Diabetes and Metabolism, University of Southern California, Los Angeles, CA.Search for other works by this author on:
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Case 14: What Type of Diabetes?ByAnthony L. McCall, PhD, FACPAnthony L. McCall, PhD, FACP1University of Virginia School of Medicine and Health System, Charlottesville, VA.Search for other works by this author on:
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Case 15: Type 1 Diabetes versus LADA in a Patient Misdiagnosed with Type 2 DiabetesByCecilia C. Low Wang, MDCecilia C. Low Wang, MD1Department of Medicine Division of Endocrinology, Metabolism and Diabetes; University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO.Search for other works by this author on:
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Case 16: Type 1 Diabetes Can Present at Any AgeByDavid S.H. Bell, MBDavid S.H. Bell, MB1Clinical Professor, University of Alabama. Birmingham, AL.Search for other works by this author on:
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Case 17: Is This Type 2 Diabetes, Type 1 Diabetes, or Late Autoimmune Diabetes in Adults?ByDevjit Tripathy, MD, PhD;Devjit Tripathy, MD, PhD1Audie L. Murphy VA Hospital, South Texas Veterans Health Care System, San Antonio, TX.Search for other works by this author on:Sheila Pinkson, MPAS, PA-C;Sheila Pinkson, MPAS, PA-C1Audie L. Murphy VA Hospital, South Texas Veterans Health Care System, San Antonio, TX.Search for other works by this author on:Maureen Koops, MD;Maureen Koops, MD1Audie L. Murphy VA Hospital, South Texas Veterans Health Care System, San Antonio, TX.Search for other works by this author on:Ralph A. DeFronzo, MDRalph A. DeFronzo, MD1Audie L. Murphy VA Hospital, South Texas Veterans Health Care System, San Antonio, TX.Search for other works by this author on:
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Case 18: A Common MisdiagnosisByIrene E. Schauer, MD, PhDIrene E. Schauer, MD, PhD1Department of Medicine, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO.2Research/Endocrine Sections, Denver Veterans Affairs Medical Center, Denver, CO.Search for other works by this author on:
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Case 19: Almost All Nonobese Young People with an Acute Onset of Diabetes Have Type 1 DiabetesByDavid S.H. Bell, MBDavid S.H. Bell, MB1Clinical Professor, University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 20: Symptomatic Postprandial HyperglycemiaByAmita Maturu, MD;Amita Maturu, MD1Division of Endocrinology, Diabetes and Metabolism, University of Colorado, Aurora, CO.Search for other works by this author on:Michael McDermott, MDMichael McDermott, MD1Division of Endocrinology, Diabetes and Metabolism, University of Colorado, Aurora, CO.Search for other works by this author on:
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Case 21: A Patient with Newly Diagnosed, Asymptomatic HyperglycemiaByAidan McElduff, MDAidan McElduff, MD1Discipline of Medicine, Sydney University, Sydney, NSW, Australia.Search for other works by this author on:
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Case 22: Glucokinase Maturity-Onset Diabetes of the Young and PregnancyByJill Apel, MD;Jill Apel, MD1Division of Endocrinology, Rush University Medical Center, Chicago, IL.Search for other works by this author on:Chung-Kay Koh, MDChung-Kay Koh, MD1Division of Endocrinology, Rush University Medical Center, Chicago, IL.Search for other works by this author on:
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Case 23: Latent Autoimmune Diabetes of the Adult (LADA) in an Elderly PatientByMonica Shah, MD;Monica Shah, MD1Division of Endocrinology, Rush University, Chicago, IL.Search for other works by this author on:Mahtab Sohrevardi, MD;Mahtab Sohrevardi, MD1Division of Endocrinology, Rush University, Chicago, IL.Search for other works by this author on:David Baldwin, MDDavid Baldwin, MD1Division of Endocrinology, Rush University, Chicago, IL.Search for other works by this author on:
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Part 2: HbA1c Dilemmas
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Case 24: A Diagnostic Dilemma in a Patient with Elevated Glycosylated HemoglobinByShalini Paturi, MD;Shalini Paturi, MD1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:Janice L. Gilden, MS, MD, FCP, FACEJanice L. Gilden, MS, MD, FCP, FACE1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:
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Case 25: An Unexplained Decline in HbA1c in Spite of Persistent HyperglycemiaByDavid S.H. Bell, MBDavid S.H. Bell, MB1Clinical Professor, University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 26: What to Do with Discrepant HbA1c and SMBG Results? The Utility of Fructosamine and Glycated AlbuminByTatiana Gandrabura, MD;Tatiana Gandrabura, MD1Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:Daniel J. Rubin, MD, MScDaniel J. Rubin, MD, MSc1Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:
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Case 27: A “Tricky” Low HbA1cByChiara Mazzucchelli, MD;Chiara Mazzucchelli, MD1Department of Internal Medicine, University of Genova, Genova, Italy.Search for other works by this author on:Caterina Bordone, MD;Caterina Bordone, MD1Department of Internal Medicine, University of Genova, Genova, Italy.Search for other works by this author on:Davide Maggi, MD, PhD;Davide Maggi, MD, PhD1Department of Internal Medicine, University of Genova, Genova, Italy.Search for other works by this author on:Renzo Cordera, MDRenzo Cordera, MD1Department of Internal Medicine, University of Genova, Genova, Italy.Search for other works by this author on:
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Part 3: More Insulin Is Not Always the Solution: Cases of Severe Insulin Resistance
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Case 28: Use of Insulin U-500 in a Patient with Severe Insulin ResistanceByHussain Mahmud, MBBS;Hussain Mahmud, MBBS1Clinical Assistant Professor of Medicine, Division of Endocrinology, University of Pittsburgh Medical Center, Pittsburgh, PA.Search for other works by this author on:Mary T. Korytkowski, MDMary T. Korytkowski, MD2Professor of Medicine, Division of Endocrinology, University of Pittsburgh Medical Center, Pittsburgh, PA.Search for other works by this author on:
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Case 29: Effective Use of U-500 Insulin via Insulin Pump in a Type 2 Diabetes Patient with Severe Insulin ResistanceByVijay babu Balakrishnan, MD;Vijay babu Balakrishnan, MD1Section of Endocrinology, Diabetes and Metabolism, Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:Elias S. Siraj, MDElias S. Siraj, MD1Section of Endocrinology, Diabetes and Metabolism, Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:
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Case 30: U-500 Insulin Pump CaseByAnthony L. McCall, MD, PhD, FACPAnthony L. McCall, MD, PhD, FACP1James M. Moss Professor of Medicine, University of Virginia, School of Medicine and Health System, Charlottesville, VA.Search for other works by this author on:
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Case 31: Difficulties in Managing Patients with Insulin Resistance: Alternatives to U-500 InsulinByNarmada Movva, MD;Narmada Movva, MD1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:Boby G. Theckedath, MD, FACE;Boby G. Theckedath, MD, FACE1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:Janice L. Gilden, MS, MD, FCP, FACEJanice L. Gilden, MS, MD, FCP, FACE1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:
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Case 32: Management Issues in the Syndrome of Autoantibodies to the Insulin Receptor (Type B Insulin Resistance)ByElaine Cochran, MSN, CRNP;Elaine Cochran, MSN, CRNP1National Institutes of Health, National Institute of Diabetes, Digestive, and Kidney Diseases, Diabetes, Endocrine, and Obesity Branch, Bethesda, MD.Search for other works by this author on:Rebecca Brown, MD, MhSc;Rebecca Brown, MD, MhSc1National Institutes of Health, National Institute of Diabetes, Digestive, and Kidney Diseases, Diabetes, Endocrine, and Obesity Branch, Bethesda, MD.Search for other works by this author on:Phillip Gorden, MDPhillip Gorden, MD1National Institutes of Health, National Institute of Diabetes, Digestive, and Kidney Diseases, Diabetes, Endocrine, and Obesity Branch, Bethesda, MD.Search for other works by this author on:
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Case 33: Type B Insulin ResistanceByNisha Bincent Jacob, APN, FNP-C, CDE, MBA;Nisha Bincent Jacob, APN, FNP-C, CDE, MBA1University of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology and Metabolism, Dallas, TX.Search for other works by this author on:Hilary Trevino, APN, FNP-C;Hilary Trevino, APN, FNP-C1University of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology and Metabolism, Dallas, TX.Search for other works by this author on:Chanhaeng Rhee, MD, MBAChanhaeng Rhee, MD, MBA1University of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology and Metabolism, Dallas, TX.Search for other works by this author on:
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Case 34: Adhering or Not? That Is the Question: A Case of Glucolipotoxicity and Concentrated InsulinBySanaa Deshmukh, MD;Sanaa Deshmukh, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:Rino Buzzola, MD;Rino Buzzola, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:Mariana Touza, MD;Mariana Touza, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:Michael Gardner, MD;Michael Gardner, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:
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Case 35: Cosecreting Adrenal Tumor Causing Severe Insulin ResistanceByKathya Rivera, MD;Kathya Rivera, MD1Division of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, FL.Search for other works by this author on:Kenneth Cusi, MD;Kenneth Cusi, MD1Division of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, FL.2Division of Endocrinology, Diabetes and Metabolism, Malcom Randall VAMC, Gainesville, FL.Search for other works by this author on:Catherine Edwards, MDCatherine Edwards, MD1Division of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, FL.Search for other works by this author on:
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Case 36: Management of Severe Insulin Resistance in a Pregnant Patient with Type 2 Diabetes: The Use of U-500 Regular Insulin via Continuous Subcutaneous InfusionByTiffany Hor, MD;Tiffany Hor, MD1Division of Endocrinology, Rush University, Chicago, IL.Search for other works by this author on:David Baldwin, MDDavid Baldwin, MD1Division of Endocrinology, Rush University, Chicago, IL.Search for other works by this author on:
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Part 4: Unusual Forms and Presentations of Diabetes
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Case 37: Diabetes in Hereditary HemochromatosisByDonald A. McClain, MD, PhDDonald A. McClain, MD, PhD1Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT.Search for other works by this author on:
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Case 38: Challenging Insights from Albuminuria Early in the Course of DiseaseByCem Demirci, MD;Cem Demirci, MD1Department of Endocrinology, Connecticut Children’s Medical Center, Hartford, CT.Search for other works by this author on:Vered Lewy-Weiss, MD;Vered Lewy-Weiss, MD2Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA.Search for other works by this author on:Mark A. Sperling, MBBS, FRACPMark A. Sperling, MBBS, FRACP2Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA.Search for other works by this author on:
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Case 39: Copresentation of Addison’s Disease and Type 1 Diabetes in a 9-Year-Old BoyByShideh Majidi, MD;Shideh Majidi, MD1Pediatric Endocrinology Fellow, University of Colorado Denver, Aurora, CO.Search for other works by this author on:Jennifer Raymond, MD, MCRJennifer Raymond, MD, MCR2Assistant Professor, Pediatric Endocrinology, Barbara Davis Center for Diabetes, University of Colorado Denver, Aurora, CO.Search for other works by this author on:
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Case 40: Diagnosis of Addison’s Disease and Type 1 Diabetes in Twin BoysByAndrea Dann Urban, MSN, PNP-BC, CDE,;Andrea Dann Urban, MSN, PNP-BC, CDE,1Yale Children’s Diabetes Program, Associate Clinical Faculty, Yale University School of Nursing, New Haven, CT.Search for other works by this author on:William V. Tamborlane, MDWilliam V. Tamborlane, MD2Professor of Pediatrics, Department of Pediatrics, Chief, Pediatric Endocrinology, Deputy Director, Yale Center for Clinical Investigation, Director, Children’s Diabetes Program, Yale School of Medicine, New Haven, CT.Search for other works by this author on:
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Case 41: New-Onset Type 1 Diabetes, Addison’s Disease, and Hypothyroidism: A Case of Autoimmune Polyendocrine Syndrome Type 2ByLauren Golden, MD;Lauren Golden, MD1Assistant Professor Clinical Medicine, Naomi Berrie Diabetes Center, Columbia University Medical Center, New York, NY.Search for other works by this author on:Robin Goland, MDRobin Goland, MD2J. Merrill Eastman Professor of Clinical Diabetes, Columbia University Medical Center, New York, NY.Search for other works by this author on:
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Case 42: The Slow Progression of Type 1 Diabetes as Part of Autoimmune Polyendocrine Syndrome Type 2ByNatalia Pertzeva, MD;Natalia Pertzeva, MD1Dnepropetrovsk Medical Academy, Dnepropetrovsk, Ukraine.Search for other works by this author on:Boris Mankovsky, MD, PhDBoris Mankovsky, MD, PhD2National Medical Academy for Postgraduate Education, Kiev, Ukraine.Search for other works by this author on:
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Case 43: Atypical Type 2 Diabetes with Profound DyslipidemiaByJeremy H. Pettus, MD;Jeremy H. Pettus, MD1Endocrinology Fellow, Division of Endocrinology and Metabolism, University of California, San Diego, CA.Search for other works by this author on:Robert R. Henry, MDRobert R. Henry, MD2Professor of Medicine, Division of Endocrinology and Metabolism, University of California, San Diego, CA; Chief, Section of Diabetes, Endocrinology and Metabolism; Director, Center for Metabolic Research, VA San Diego Healthcare System, San Diego, CA.Search for other works by this author on:
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Case 44: Patient with Diabetes Who Has HemiballismusByMiriam Padilla, MD, CDE;Miriam Padilla, MD, CDE1Fellow, Department of Endocrinology and Diabetes at University of Southern California.Search for other works by this author on:Jorge Mestman, MDJorge Mestman, MD2Professor of Clinical Medicine in the Department of Endocrinology and Diabetes at University of Southern California, Professor of Clinical Medicine in the Department of Obstetrics and Gynecology at University of Southern California.Search for other works by this author on:
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Case 45: A Case of Diabetic MyonecrosisByUmal Azmat, MD;Umal Azmat, MD1Division of Endocrinology, Diabetes and Metabolism, Ohio State University Wexner Medical Center, Columbus, OH.Search for other works by this author on:Jason E. Payne, MD;Jason E. Payne, MD2Division of Radiology, Ohio State University Wexner Medical Center, Columbus, OH.Search for other works by this author on:Kathleen Dungan, MD;Kathleen Dungan, MD1Division of Endocrinology, Diabetes and Metabolism, Ohio State University Wexner Medical Center, Columbus, OH.Search for other works by this author on:Steven W. Ing, MDSteven W. Ing, MD1Division of Endocrinology, Diabetes and Metabolism, Ohio State University Wexner Medical Center, Columbus, OH.Search for other works by this author on:
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Case 46: A Case of Stiff Person Syndrome in a Patient with Type 1 DiabetesByMatthew P. Gilbert, DO, MPH;Matthew P. Gilbert, DO, MPH1Department of Medicine, Division of Endocrinology and Diabetes, University of Vermont College of Medicine, Burlington, VT.Search for other works by this author on:Muriel H. Nathan, MD, PhDMuriel H. Nathan, MD, PhD1Department of Medicine, Division of Endocrinology and Diabetes, University of Vermont College of Medicine, Burlington, VT.Search for other works by this author on:
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Case 47: Stiff Person Syndrome in a Patient with Multiple Autoimmune DiseasesByJing Hughes, MD, PhD;Jing Hughes, MD, PhD1Professor of Medicine, Director, Fellowship in Endocrinology, Diabetes and Metabolism, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO.Search for other works by this author on:Janet B. McGill, MDJanet B. McGill, MD1Professor of Medicine, Director, Fellowship in Endocrinology, Diabetes and Metabolism, Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO.Search for other works by this author on:
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Case 48: Glycogenic Hepatopathy in an Adolescent with Type 1 DiabetesByNehama Zuckerman-Levin, MD;Nehama Zuckerman-Levin, MD1Department of Pediatrics, Pediatric Diabetes and Obesity Clinic, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.Search for other works by this author on:Oz Mordechai, MD;Oz Mordechai, MD1Department of Pediatrics, Pediatric Diabetes and Obesity Clinic, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.Search for other works by this author on:Naim Shehadeh, MDNaim Shehadeh, MD1Department of Pediatrics, Pediatric Diabetes and Obesity Clinic, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.Search for other works by this author on:
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Case 49: Glycemic Control in a Child with Type 1 Diabetes and Autoimmune HepatitisBySandro Muntoni, MD, PhD;Sandro Muntoni, MD, PhD1Department of Biomedical Sciences, University School of Cagliari and Centre for Metabolic Diseases and Atherosclerosis, The ME.DI.CO Association, Cagliari, ItalySearch for other works by this author on:Mauro Congia, MDMauro Congia, MD2Pediatric Gastroenterologic Unity, Microcitemic Hospital, ASL 8, Cagliari, Italy.Search for other works by this author on:
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Case 50: Dizziness, Lightheadedness, and Syncope in a Patient with Type 2 DiabetesByShalini Paturi, MD;Shalini Paturi, MD1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:Janice L. Gilden, MS, MD, FCP, FACEJanice L. Gilden, MS, MD, FCP, FACE1Endocrinology Division, Department of Medicine, Rosalind Franklin University of Medicine and Science/Chicago Medical School, North Chicago, IL.2Endocrinology Section, Department of Medicine, Captain James A. Lovell Federal Health Care Center, North Chicago, IL.Search for other works by this author on:
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Case 51: Growth Hormone Excess-Induced Diabetic KetoacidosisByAndrew P. Demidowich, MD;Andrew P. Demidowich, MD1Section on Pediatric Diabetes and Metabolism, Diabetes, Endocrinology, and Obesity Branch, NIDDK, National Institutes of Health, Bethesda, MD.Search for other works by this author on:Maya Lodish, MD;Maya Lodish, MD2Heritable Disorders Branch, NICHD, National Institutes of Health, Bethesda, MD.Search for other works by this author on:Kristina I. Rother, MD, MHScKristina I. Rother, MD, MHSc1Section on Pediatric Diabetes and Metabolism, Diabetes, Endocrinology, and Obesity Branch, NIDDK, National Institutes of Health, Bethesda, MD.Search for other works by this author on:
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Case 52: Refractory Angina in a Patient with Type 2 DiabetesByMikhail Kosiborod, MDMikhail Kosiborod, MD1Professor of Medicine, Saint Luke’s Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MO.Search for other works by this author on:
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Part 5: Diabetes in the Hospital Setting
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Case 53: Glycemic Control in a Patient with Type 2 Diabetes Undergoing Cardiac SurgeryByM. Kathleen Figaro, MD, MSM. Kathleen Figaro, MD, MS1Medical Director, Diabetes Care Center, Endocrinology, Genesis Health Care, Bettendorf, IA.Search for other works by this author on:
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Case 54: Inpatient Insulin Management for Complex Enteral FeedingsByAnna Beth Barton, MD;Anna Beth Barton, MD1Endocrinology Fellow, Department of Medicine Division of Endocrinology, Metabolism, and Nutrition, Duke University Medical Center, Durham, NC.Search for other works by this author on:Kathryn J. Evans, DNP, FNP-BC;Kathryn J. Evans, DNP, FNP-BC2Division of Endocrinology, Metabolism and Nutrition, Duke University Medical Center, Durham, NC.Search for other works by this author on:Lillian F. Lien, MDLillian F. Lien, MD3Medical Director, Duke Inpatient Diabetes Management Associate Professor, Department of Medicine Division of Endocrinology, Metabolism, and Nutrition, Duke University Medical Center, Durham, NC.Search for other works by this author on:
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Case 55: Glycemic Control in a Patient with Type 1 Diabetes and Severe BurnsByR. Matthew Hawkins, PA-C;R. Matthew Hawkins, PA-C1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Colorado Anschutz Medical Center, Aurora CO.Search for other works by this author on:Boris Draznin, MD, PhDBoris Draznin, MD, PhD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Colorado Anschutz Medical Center, Aurora CO.Search for other works by this author on:
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Case 56: Combined Effect of Intravenous Insulin Infusion and Subcutaneous Rapid-Acting Insulin for Glycemic Control in Severe Insulin ResistanceByMagdalena Szkudlinska, MD;Magdalena Szkudlinska, MD1University of Washington School of Medicine, Division of Metabolism, Endocrinology, & Nutrition, Seattle, WA.Search for other works by this author on:Irl B. Hirsch, MDIrl B. Hirsch, MD1University of Washington School of Medicine, Division of Metabolism, Endocrinology, & Nutrition, Seattle, WA.Search for other works by this author on:
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Case 57: Therapeutic Hypothermia and Severe Insulin Resistance in Patients with Diabetes and Cardiac ArrestByStacey Seggelke, RD, MS, CDE;Stacey Seggelke, RD, MS, CDE1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.Search for other works by this author on:Boris Draznin, MD, PhDBoris Draznin, MD, PhD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.Search for other works by this author on:
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Case 58: Extreme Insulin Resistance Following Heart TransplantBySuruchi Gupta, MBBS, MPH;Suruchi Gupta, MBBS, MPH1Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.Search for other works by this author on:Diana Johnson Oakes, APRN-BC;Diana Johnson Oakes, APRN-BC1Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.Search for other works by this author on:Ashley Therasse, MD;Ashley Therasse, MD1Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.Search for other works by this author on:Amisha Wallia, MD, MS;Amisha Wallia, MD, MS1Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.Search for other works by this author on:Mark E. Molitch, MDMark E. Molitch, MD1Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.Search for other works by this author on:
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Case 59: Glycemic Control after Left Ventricular Assist Device Placement in a Patient with Type 2 DiabetesByGitana Staskus, MDGitana Staskus, MD1Assistant Professor of Medicine, Division of Endocrinology, Metabolism and Diabetes, University of Utah, School of Medicine.Search for other works by this author on:
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Case 60: Management of Diabetic Ketoacidosis in a Patient on HemodialysisByRoopashree Prabhushankar, MD;Roopashree Prabhushankar, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO.Search for other works by this author on:Sofia Syed, MD;Sofia Syed, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO.Search for other works by this author on:James R. Sowers, MD, FACE, FACP, FAHAJames R. Sowers, MD, FACE, FACP, FAHA1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO.2Department of Medical Pharmacology and Physiology, University of Missouri, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO.3Diabetes and Cardiovascular Center, University of Missouri, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO.Search for other works by this author on:
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Case 61: New Diabetes Emergency: Acute Rhabdomyolysis Complicating Hyperglycemic Hyperosmolar ComaByCherie Vaz, MD;Cherie Vaz, MD1Section of Endocrinology, Department of Medicine, Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:Ajay Chaudhuri, MD, MRCPAjay Chaudhuri, MD, MRCP2Department of Endocrinology, State University of New York, University at Buffalo and Kaleida Health, Buffalo, NY.Search for other works by this author on:
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Case 62: Transitioning from Intravenous to Subcutaneous Insulin in a Complicated PatientByKathryn J. Evans, DNP, FNP-BC;Kathryn J. Evans, DNP, FNP-BC1Division of Endocrinology, Metabolism and Nutrition, Duke University Medical Center, Durham, NC.Search for other works by this author on:Lillian F. Lien, MDLillian F. Lien, MD2Duke Inpatient Diabetes Management, Department of Medicine, Division of Endocrinology, Metabolism, and Nutrition, Duke University Medical Center, Durham, NC.Search for other works by this author on:
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Case 63: Failure to Coordinate Diabetes Care between Hospital and Ambulatory Settings: A Threat to Safe and Quality Patient CareByShawn Peavie, DO;Shawn Peavie, DO1 University of Cincinnati College of Medicine; Division of Endocrinology, Diabetes, and Metabolism, Cincinnati, OH.Search for other works by this author on:Mercedes Falciglia, MDMercedes Falciglia, MD1 University of Cincinnati College of Medicine; Division of Endocrinology, Diabetes, and Metabolism, Cincinnati, OH.2Cincinnati Veterans Affairs Medical Center, Cincinnati, OH.Search for other works by this author on:
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Case 64: Preventing Readmission: Translating the Hospital Diabetes Regimen into a Home Regimen that Is Safe, Effective, and Easy to FollowByJane Jeffrie Seley, DNP, MPH, MSN, BC-ADM, CDE, CDTCJane Jeffrie Seley, DNP, MPH, MSN, BC-ADM, CDE, CDTC1New York Presbyterian/Weill Cornell Medical Center, New York, NY.Search for other works by this author on:
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Part 6: Diabetes Management Pearls
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Case 65: Novel Combination Therapy for Type 2 DiabetesByDonna White, RPh, CDE, BCACP;Donna White, RPh, CDE, BCACP1University of Virginia Health System, Department of Pharmacy, Charlottesville, VA.Search for other works by this author on:Svetlana Goldman, PharmDSvetlana Goldman, PharmD1University of Virginia Health System, Department of Pharmacy, Charlottesville, VA.Search for other works by this author on:
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Case 66: Do Many People with Type 2 Diabetes Really Need Insulin?ByStanley S. Schwartz, MDStanley S. Schwartz, MD1Main Line Health System, Wynnewood, PA.2University of Pennsylvania, Philadelphia, PA.Search for other works by this author on:
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Case 67: Glycemic Control in a Patient with Type 1 Diabetes and Peritoneal DialysisByNadir Khir, MD;Nadir Khir, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:Stephen Brietzke, MD;Stephen Brietzke, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:James R. Sowers, MDJames R. Sowers, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:
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Case 68: Insulin Allergy in an Insulin-Requiring PatientByNestoras Mathioudakis, MDNestoras Mathioudakis, MD1Assistant Professor of Medicine, Division of Endocrinology, Diabetes, & Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD.Search for other works by this author on:
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Case 69: Use of 3-Day Continuous Glucose Monitoring to Investigate Persistent Fasting Hyperglycemia in Type 2 DiabetesByMichelle Griffith, MD;Michelle Griffith, MD1Division of Endocrinology and Metabolism, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.Search for other works by this author on:Mary Korytkowski, MDMary Korytkowski, MD1Division of Endocrinology and Metabolism, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.Search for other works by this author on:
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Case 70: Insulin Injections: What You “See” May Not Be What You GetByRobert J. Rushakoff, MD;Robert J. Rushakoff, MD1Division of Endocrinology and Metabolism, University of California, San Francisco, CA.Search for other works by this author on:Mary M. Sullivan, DNP, RN, ANP-BC, CDE, FAAN;Mary M. Sullivan, DNP, RN, ANP-BC, CDE, FAAN2Department of Nursing, University of California, San Francisco, CA.Search for other works by this author on:Arti Shah, MD;Arti Shah, MD3Division of Endocrinology and Metabolism, University of California, San Francisco, CA.Search for other works by this author on:Heidemarie Windham MacMaster, PharmD, CDEHeidemarie Windham MacMaster, PharmD, CDE4Department of Pharmaceutical Services, University of California, San Francisco, CA.Search for other works by this author on:
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Case 71: Prolonged Insulin-Free Management of Type 1 DiabetesByDanielle Castillo, MD;Danielle Castillo, MD1Division of Endocrinology & Metabolism, Eastern Virginia Medical School, Norfolk, VA.Search for other works by this author on:Joseph Aloi, MD, FACEJoseph Aloi, MD, FACE1Division of Endocrinology & Metabolism, Eastern Virginia Medical School, Norfolk, VA.Search for other works by this author on:
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Case 72: Delayed Response to NPH InsulinByMayer B. Davidson, MDMayer B. Davidson, MD1Department of Internal Medicine, Charles R. Drew University, Los Angeles, CA.Search for other works by this author on:
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Case 73: Reversal of Type 2 Diabetes by Weight Loss Despite Presence of Macro- and Microvascular ComplicationsByCarl Peters, MB, ChB;Carl Peters, MB, ChB1Newcastle Magnetic Resonance Centre, Campus for Ageing and Vitality, Newcastle upon Tyne, England.Search for other works by this author on:Sarah Steven, MB, ChB;Sarah Steven, MB, ChB1Newcastle Magnetic Resonance Centre, Campus for Ageing and Vitality, Newcastle upon Tyne, England.Search for other works by this author on:Roy Taylor, MDRoy Taylor, MD1Newcastle Magnetic Resonance Centre, Campus for Ageing and Vitality, Newcastle upon Tyne, England.Search for other works by this author on:
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Case 74: Glycemic Control in Older Adults with Diabetes and Use of New SGLT2 InhibitorsByCarolyn Horney, MD;Carolyn Horney, MD1University of Colorado Health Sciences Center, Division of Geriatric Medicine, Aurora, CO.Search for other works by this author on:Jeffrey Wallace, MD, MPHJeffrey Wallace, MD, MPH1University of Colorado Health Sciences Center, Division of Geriatric Medicine, Aurora, CO.Search for other works by this author on:
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Case 75: Blood Glucose Control of Patients with HypertriglyceridemiaByHenning Beck-Nielsen, DMScHenning Beck-Nielsen, DMSc1Department of Endocrinology, Odense University Hospital, Odense, Denmark.Search for other works by this author on:
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Case 76: No Effect of Gluten-Free Diet in Prevention of Autoimmune Type 1 Diabetes and Other Autoimmune Disorders in a Child with Celiac DiseaseBySandro Muntoni, MD, PhD;Sandro Muntoni, MD, PhD1Department of Biomedical Sciences, University School of Cagliari and Centre for Metabolic Diseases and Atherosclerosis, The ME.DI.CO. Association, Cagliari, Italy.Search for other works by this author on:Mauro Congia, MDMauro Congia, MD2Pediatric Gastro-enterologic Unity, Microcitemic Hospital, Cagliari, Italy.Search for other works by this author on:
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Case 77: What Does It Take to Keep Glucose Normal?ByLawrence S. Phillips, MDLawrence S. Phillips, MD1Atlanta VA Medical Center, Decatur, GA.2Division of Endocrinology and Metabolism, Department of Medicine, Emory University, School of Medicine, Atlanta, GA.Search for other works by this author on:
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Case 78: Psychosocial Stressors and Management in an Adolescent with Type 2 DiabetesByRadha Nandagopal, MD;Radha Nandagopal, MD1Pediatric Endocrinology, Providence Medical Group, Spokane, WA.Search for other works by this author on:Kristina I. Rother, MD, MHScKristina I. Rother, MD, MHSc2Section on Pediatric Diabetes and Metabolism, Diabetes, Endocrinology, and Obesity Branch, NIDDK, National Institutes of Health, Bethesda, MD.Search for other works by this author on:
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Part 7: The Limiting Factor: Issues in Hypoglycemia
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Case 79: Suicide, Homicide, or Diabetes-Related Incident?ByJohn N. Carter, BSc (Med), MBBS, FRACP, MDJohn N. Carter, BSc (Med), MBBS, FRACP, MD1Clinical Professor of Endocrinology, Sydney Medical School, University of Sydney, Australia.Search for other works by this author on:
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Case 80: The Case of an Older Woman with Diabetes on Insulin Pump Therapy, Struggling with Cognitive Decline, Hypoglycemia, and Loss of AutonomyByJennifer M. Hackel, DNP, GNP-BC, CDE;Jennifer M. Hackel, DNP, GNP-BC, CDE1University of Massachusetts Boston, Boston, MA.Search for other works by this author on:Liselle Douyon, MD;Liselle Douyon, MD2University of Michigan, Endocrinology and Metabolism, Ann Arbor, MI.Search for other works by this author on:Jeffrey B. Halter, MDJeffrey B. Halter, MD3University of Michigan Geriatrics Center, Ann Arbor, MI.Search for other works by this author on:
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Case 81: Somnambulism (Sleepwalking) Caused by Nocturnal HypoglycemiaByDavid S.H. Bell, MBDavid S.H. Bell, MB1Clinical Professor of Medicine, University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 82: Hypoglycemic UnawarenessByAmita Maturu, MD;Amita Maturu, MD1Division of Endocrinology, Diabetes and Metabolism, University of Colorado, Aurora, CO.Search for other works by this author on:Neda Rasouli, MDNeda Rasouli, MD1Division of Endocrinology, Diabetes and Metabolism, University of Colorado, Aurora, CO.2Denver Veterans Affairs Medical Center, Denver, CO.Search for other works by this author on:
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Case 83: Successful Use of Plasmapheresis in the Treatment of Hypoglycemia Due to Insulin Antibody SyndromeByPankaj Sharda, MD;Pankaj Sharda, MD1Section of Endocrinology, Diabetes and Metabolism, Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:Thottathil Gopan, MD;Thottathil Gopan, MD2Department of Endocrinology, Diabetes and Metabolism, Cleveland Clinic, Cleveland, OH.Search for other works by this author on:Robert Zimmerman, MD;Robert Zimmerman, MD2Department of Endocrinology, Diabetes and Metabolism, Cleveland Clinic, Cleveland, OH.Search for other works by this author on:Elias S. Siraj, MDElias S. Siraj, MD1Section of Endocrinology, Diabetes and Metabolism, Temple University School of Medicine, Philadelphia, PA.Search for other works by this author on:
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Case 84: Postprandial Hypoglycemia, an Uncommon Presentation of Type 2 DiabetesByMuhammad W. Salam, MD;Muhammad W. Salam, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.Search for other works by this author on:James R. Sowers, MDJames R. Sowers, MD1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Missouri, Columbia, MO.4University of Missouri, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO.Search for other works by this author on:
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Case 85: Factitious Hypoglycemia in a Type 2 Diabetic PatientByStacey A. Seggelke, MS, RN, CNS, CDE, BC-ADMStacey A. Seggelke, MS, RN, CNS, CDE, BC-ADM1Adult Diabetes Program, University of Colorado Denver, School of Medicine, Denver, CO.Search for other works by this author on:
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Case 86: Recurrent Hypoglycemia in a Patient with Type 2 DiabetesByPavani Srimatkandada, MD;Pavani Srimatkandada, MD1Boston University School of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston, MA.Search for other works by this author on:Marie E. McDonnell, MD;Marie E. McDonnell, MD1Boston University School of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston, MA.Search for other works by this author on:Sonia Ananthakrishnan, MDSonia Ananthakrishnan, MD1Boston University School of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston, MA.Search for other works by this author on:
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Case 87: Munchausen Syndrome: Hypoglycemia in an Obese Woman with Type 2 DiabetesByR. Paul Robertson, MDR. Paul Robertson, MD1Professor of Medicine, University of Minnesota, Professor of Medicine and Pharmacology, University of Washington, President Emeritus and Principal Investigator, Pacific Northwest Diabetes Research Institute.Search for other works by this author on:
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Case 88: The Use of Medical Technologies for the Reduction of Hypoglycemia in Type 1 Diabetes: Technology for Hypoglycemia ReductionByViral N. Shah, MD;Viral N. Shah, MD1Barbara Davis Center for Diabetes, University of Colorado Denver, Aurora, CO.Search for other works by this author on:Aaron W. Michels, MD;Aaron W. Michels, MD1Barbara Davis Center for Diabetes, University of Colorado Denver, Aurora, CO.2Departments of Internal Medicine and Pediatrics, School of Medicine, University of Colorado, Denver, Aurora, CO.Search for other works by this author on:Satish K. Garg, MDSatish K. Garg, MD1Barbara Davis Center for Diabetes, University of Colorado Denver, Aurora, CO.3Editor-in-Chief, Diabetes Technology and Therapeutics, Aurora, CO.Search for other works by this author on:
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Case 89: Reversal of Insulin-Requiring Type 2 Diabetes and Development of Hypoglycemia in a Morbidly Obese PatientByDavid S.H. Bell, MBDavid S.H. Bell, MB1University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 90: Munchausen-by-Proxy: Hypoglycemia in an Islet Autotransplantation RecipientByR. Paul Robertson, MDR. Paul Robertson, MD1Professor of Medicine, University of Minnesota; Professor of Medicine and Pharmacology, University of Washington; President Emeritus and Principal Investigator, Pacific Northwest Diabetes Research Institute.Search for other works by this author on:
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Case 91: Treatment of a Patient with Diabetes and Severe HypoglycemiaByHenning Beck-Nielsen, DMScHenning Beck-Nielsen, DMSc1Department of Endocrinology, Department of Endocrinology, Odense University Hospital, Odense, Denmark.Search for other works by this author on:
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Case 92: Hypoglycemia with Use of Glargine Insulin in the Management of Type 2 Diabetes, Occurring with Titration Aimed at Achieving Prebreakfast Glucose Levels <100 mg/dL (5.6 mmol/L)BySaira Adeel, MD;Saira Adeel, MD1Atlanta VA Medical Center, Division of Endocrinology, Emory University School of Medicine, Atlanta, GA.Search for other works by this author on:Lawrence S. Phillips, MDLawrence S. Phillips, MD2Division of Endocrinology and Metabolism, Emory University, Atlanta, GA.Search for other works by this author on:
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Case 93: Progressive Hypoglycemia Due to Insulinoma in a Patient with Type 2 Diabetes: Treatment with ImageGuided Minimally Invasive Pancreas-Sparing SurgeryByMary-Elizabeth Patti, MD;Mary-Elizabeth Patti, MD1Joslin Diabetes Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:Mark P. Callery, MD, FACS;Mark P. Callery, MD, FACS2Institute for HepatoBiliary and Pancreatic Surgery, Beth Israel Deaconess Medical Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:Robert M. Najarian, MD;Robert M. Najarian, MD3Department of Pathology, Beth Israel Deaconess Medical Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:Mandeep S. Sawhney, MD, MS;Mandeep S. Sawhney, MD, MS4Department of Medicine, Beth Israel Deaconess Medical Center and Dana Farber Harvard Cancer Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:Lyle Mitzner, MD;Lyle Mitzner, MD1Joslin Diabetes Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:Allison B. Goldfine, MD;Allison B. Goldfine, MD1Joslin Diabetes Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:A. James Moser, MD, FACSA. James Moser, MD, FACS2Institute for HepatoBiliary and Pancreatic Surgery, Beth Israel Deaconess Medical Center, Boston, MA.5Harvard Medical School, Boston, MA.Search for other works by this author on:
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Part 8: Neuropathy in Diabetes
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Case 94: Managing Pain and Paralysis in Chronic Inflammatory Demyelinating Polyneuropathy in DiabetesByAaron I. Vinik, MD, PhD, MACP, FCP, FACEAaron I. Vinik, MD, PhD, MACP, FCP, FACE1Eastern Virginia Medical School, Strelitz Diabetes Center, Norfolk, VA.Search for other works by this author on:
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Case 95: Neuropathy in Metformin-Treated Type 2 DiabetesByAaron I. Vinik, MD, PhD, MACP, FCP, FACEAaron I. Vinik, MD, PhD, MACP, FCP, FACE1Eastern Virginia Medical School, Strelitz Diabetes Center, Norfolk, VA.Search for other works by this author on:
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Case 96: A Case of Acute Sensory Neuropathy in Type 1 DiabetesByAndrew J.M. Boulton, MD, DSc, FACP, FRCPAndrew J.M. Boulton, MD, DSc, FACP, FRCP1University of Manchester, UK; University of Miami, Miami, FL; Manchester Royal Infirmary, Manchester, UK; President, European Association for the Study of Diabetes, Dusseldorf, Germany.Search for other works by this author on:
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Case 97: Nondiabetic Neuropathy in a Patient with Type 2 DiabetesByDavid S.H. Bell, MBDavid S.H. Bell, MB1University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 98: Severe Distal Symmetrical and Autonomic Neuropathy in a Patient with a Short Duration of Type 1 DiabetesByDavid S.H. Bell, MBDavid S.H. Bell, MB1University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 99: Diabetic Amyotrophy and Neuropathic CachexiaByDavid S.H. Bell, MBDavid S.H. Bell, MB1University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 100: High GAD Antibody Levels and Cerebellar Atrophy in a Patient with Type 1 DiabetesByDavid S.H. Bell, MBDavid S.H. Bell, MB1University of Alabama, Birmingham, AL.Search for other works by this author on:
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Part 9: Diabetes in Pregnancy and Reproductive Issues
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Case 101: Resolution of Infertility with Diabetes TherapyByDavid S.H. Bell, MBDavid S.H. Bell, MB1University of Alabama, Birmingham, AL.Search for other works by this author on:
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Case 102: The Initial Pregnancy Visit of a Woman with Type 1 Diabetes and Diabetes ComplicationsByAidan McElduff, MDAidan McElduff, MD1Discipline of Medicine, Sydney University, Sydney, NSW, Australia.Search for other works by this author on:
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Case 103: Gastroparesis and PregnancyByCarl Peters, MB, ChB;Carl Peters, MB, ChB1Newcastle Magnetic Resonance Centre, Campus for Ageing and Vitality, Newcastle upon Tyne, England.Search for other works by this author on:Roy Taylor, MDRoy Taylor, MD1Newcastle Magnetic Resonance Centre, Campus for Ageing and Vitality, Newcastle upon Tyne, England.Search for other works by this author on:
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