Clinical Challenge

Renal failure in a patient with maturity onset diabetes of the young

Renal failure in a patient with maturity onset diabetes of the young

A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.

An adolescent with more than a cold

An adolescent with more than a cold


A 12-year-old child complains of having a slight sore throat and fatigue, but his mother becomes concerned when the child's symptoms worsen three days later.

Transplant, steroids, and diabetes: Inpatient and outpatient management

Transplant, steroids, and diabetes: Inpatient and outpatient management

A patient, aged 60 years, was admitted to the hospital to undergo renal transplant therapy. He had a history of type 2 diabetes for 15 years.

Transitioning a patient with a complex insulin regimen from hospital to home

Transitioning a patient with a complex insulin regimen from hospital to home

When creating outpatient diabetes management plan, the patient's inpatient medication regimen should be considered but not necessarily replicated.

Abdominal cramping, foreign body in 
the stool of a child

Abdominal cramping, foreign body in 
the stool of a child

A child presents to the emergency department with a seven-inch live 
worm in his stool.

Diabetes control in a patient with multiple hospitalizations

Diabetes control in a patient with multiple hospitalizations

A patient with type 2 diabetes for ten years experienced three recent hospitalizations and a COPD exacerbation that required an increase in maintenance steroids.

Inflamed foot in a patient with diabetes

Inflamed foot in a patient with diabetes

A patient diagnosed with type 2 diabetes, hypertension, hyperlipidemia presents to the foot clinic after one month of swelling, redness, and warmth in the left foot.

Elevated blood glucose, weight loss in patient with type 1 diabetes

Elevated blood glucose, weight loss in patient with type 1 diabetes

A patient, Ms. B., was diagnosed with type 1 diabetes three years ago.

Hypoglycemia in an ambulatory-care setting

Hypoglycemia in an ambulatory-care setting

A type 1 diabetes patient presents to an outpatient facility agitated and slurring his words. Emergency medical help was called to assist the patient.

Managing type 2 diabetes in an outpatient setting

Managing type 2 diabetes in an outpatient setting

How would you help maximize this patient's diabetes therapy, hypertension management, and reduce leg cramps?

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