A 28-year-old woman with a 25-year history of type 1 diabetes mellitus (DM) comes to your office with her husband for preconception counseling.
A 58-year-old, obese man with type 2 diabetes mellitus (DM), uncontrolled cardiovascular risk factors, and recently diagnosed, nonobstructive coronary disease comes to your office for comprehensive management.
A 50-year-old white male with type 2 diabetes mellitus (DM) is being treated with Humulin(R) 70/30 (Eli Lilly and Company, Indianapolis, Indiana) 10 U BID and glucophage 500 mg TID. The patient decided to seek another endocrinologist's opinion and was referred by his primary care provider.
The patient was a 16-year-old, obese black male who presented to the local emergency department where he was described as being in "acute distress." Two weeks before admission, the patient had noted polyuria, nocturia, weight loss (despite being constantly hungry), and little energy. Two days before admission, he developed headaches, generalized abdominal pain, nausea, and vomiting.
A 25-year-old white woman with a history of polycystic ovary syndrome (PCOS) came to the diabetes mellitus (DM) clinic for a follow-up appointment after gestational DM (GDM) was diagnosed during a recent pregnancy. She was overweight with a body mass index of 29 kg/m squared (height 61 in, weight 154 lb). Blood pressure was 130/80 mm Hg. Her skin examination revealed mild hirsutism and acanthosis nigricans on the back of the neck.
A 26-year-old black woman with type 2 diabetes mellitus (DM) presents to your office after being told by her primary care physician that her DM was poorly controlled. The patient has a history of peptic ulcer disease for which she takes omeprazole 40 mg daily. There is a remote history of nonspecific gastric surgery. She also has dyslipidemia, which is treated with atorvastatin 10 mg/d, and asthma, which is controlled with an albuterol metered dose inhaler. The patient has smoked 1 pack of cigarettes daily for 8 years and drinks ~6 beers a day on weekends. The patient weighed 180 pounds and was 5 feet 4 inches tall.
The patient is a 30-year-old Hispanic man who was admitted to the surgical intensive care unit (ICU) with abdominal pain, vomiting, and a blood glucose level of 426 mg/dL.
This was the case of a 48-year-old Hispanic male with type 2 diabetes mellitus (DM) who presented with elevated levels of glycosylated hemoglobin (A1C). He had presented 2 years prior for treatment and was currently taking metformin 1000 mg BID, insulin glargine 30 U QHS, and other medications. His diet was high in carbohydrates.
A 36-year-old white man with diabetes mellitus (DM) for 4 years presents with persistent hyperglycemia while taking multiple oral agents.
A 56-year-old African American man with type 2 diabetes mellitus presented for follow-up.
Rocio Pereira presents an interactive case study involving the use of insulin in a 29-year-old Hispanic woman with DM. Readers are encouraged to consider the accompanying questions and to submit their response for consideration by a diabetes expert.
A 50-year-old man with a 4-year history of type 2 diabetes mellitus (DM), which had previously been controlled with lifestyle changes and combination glyburide/metformin therapy, now complains of worsening blood glucose values.
