Clinical Challenge

Management and treatment of peripheral neuropathy

Management and treatment of peripheral neuropathy

An older patient with type 2 diabetes expresses concern about potential peripheral neuropathy.

Itchy red rash and 
periorbital swelling

Itchy red rash and 
periorbital swelling

A 38-year-old man presents to an
otolaryngology clinic with itchy eyes,
periorbital swelling, and an itchy red rash on his face and arms.

Getting hemoglobin A1c under control after a relapse

Getting hemoglobin A1c under control after a relapse

A patient with diabetes questions the necessity of starting a statin.

When type 1 diabetes complicates surgery

When type 1 diabetes complicates surgery

The patient, aged 69 years, had a 43-year history of type 1 diabetes and was scheduled to undergo a chest wall resection.

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.

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