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What to do in a glycemic crisis In patients with diabetes mellitus, the primary glycemic emergencies are hypoglycemia, diabetic ketoacidosis (DKA), and hyperglycemic hyperosmolar nonketotic coma (HHNC). Hypoglycemia usually occurs [...]

Because it's nearly impossible to pinpoint the onset of hyperglycemia, it's hard to predict the risk of complications in type 11 diabetes. Vigilance and prevention are essential. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxx EXPRESS [...]

Sometimes diet therapy isn't enough in type II diabetes, and achieving near-normal glycemia requires medication. But which patient is likely to respond to oral agents? And what is the role [...]

Weight control is the linchpin of successful therapy of non-insulin-dependent diabetes. It is also the most difficult aspect of treatment. The good news? A modest loss is often enough. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [...]

The therapy of non-insulin-dependent diabetes mellitus (NIDDM or type II diabetes) has three goals: *To achieve and maintain normal or nearnormal metabolic and biochemical control * To prevent the complications [...]

Experts estimate that the more than 6 million patients in the United States (2.5% of the population) with diagnosed noninsulindependent diabetes mellitus (NIDDM, also known as type II diabetes) represent [...]

CASE A 26-year-old obese woman is in the third month of her first pregnancy. She has had no significant illnesses, but her mother and maternal grandmother have diabetes. The patient [...]

A casebook that challenges your clinical skills Contributed by JAMES B. FIELD, MD editor of Metabolism; Clinical and Experimental, and former Rutherford Professor of Medicine, Baylor College of Medicine, Houston. [...]

JAMES B. FIELD, MD is editor of Metabolism: Clinical and Experimental and former Rutherford Professor of Medicine, Baylor College of Medicine, Houston In the United States, the number of people [...]

For several months, a 41-year-old man with diabetes of 17 years' duration has been unable to have erections despite normal libido. He has not had early-morning erections, and sexual stimulation [...]

Diabetic renal damage and hypertension CASE A 42-year-old woman who just moved sees her new physician for the first time. She has had diabetes and has been treated with insulin [...]

Blurred vision as the first symptom of diabetes CASE HISTORY A 52-year-old woman sought medical advice because her vision had been blurred for three weeks. She said she had been [...]

CASE HISTORY A 55-year-old obese female has had diabetes for five years and has ostensibly been complying with an 1,800-calorie diet and performing daily urine glucose testing. Persistent questioning and [...]

A casebook that challenges your clinical skills CASE HISTORY A 29-year-old male with diabetes of 10 years' duration consumes 2,400 calories a day, including midafternoon and bedtime snacks. His physician [...]

CASE HISTORY The patient is an 18-year-old woman who has had diabetes for eight years but has never achieved good glycemic control. She maintains a diet of 1,800 calories per [...]

Puzzling abdominal findings in ketoacidosis CASE HISTORY An 18-year-old woman, not a known diabetic, has had a one-month history of increasing polyuria, polydipsia, and a 12-lb (5.4-kg) weight loss despite [...]

Insulin dosage and the ripple effect CASE HISTORY A 27-year-old single man has had diabetes for five years and has been treated with 30 U of NPH insulin each morning. [...]