Clinical Challenge

An obese woman ­presents with polyuria and blurred vision

An obese woman ­presents with polyuria and blurred vision

A patient recently diagnosed with diabetes complains of worsening malaise and fatigue as well as bilateral extremity cramps.

Dyspnea and cough in an elderly woman with diabetes and CHF

Dyspnea and cough in an elderly woman with diabetes and CHF

Our patient had an extensive medical history, but were her new-onset symptoms the result of poor compliance?

Unusual use of radiation therapy for pelvic pain

Unusual use of radiation therapy for pelvic pain

A woman suffers cyclic pain after multiple abdominal and pelvic surgeries.

Numbness, tingling, weakness, and coolness in a 'jammed' hand

Numbness, tingling, weakness, and coolness in a 'jammed' hand

A man tells the orthopedics clinic staff about odd sensations in his hand a week after a car accident.

Environmental exposures worsen untreated diabetes

Environmental exposures worsen untreated diabetes

Heavy metal exposure from a patient's well water accelerated multisystem damage associated with diabetes.

A spreading shin rash signifies systemic disease

A spreading shin rash signifies systemic disease

A "bruise" from a minor injury continues to linger for weeks.

Hair loss in a post-menopausal woman with diabetes

Hair loss in a post-menopausal woman with diabetes

Are hormonal changes to blame, or something else?

A schizophrenic patient with poorly controlled diabetes

A schizophrenic patient with poorly controlled diabetes

Dietary supervision may have driven the patient out of his facility.

Misdiagnosed with type 2 diabetes

Misdiagnosed with type 2 diabetes

Despite adhering to lifestyle modifications, a woman's glycemic control remains inadequate.

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