Diabetes Consultations Archive
In which disease states or at what stages of chronic kidney disease is the HbA1c test no longer reliable?
Why are individuals with diabetes especially prone to developing frozen shoulder?
Does fruit juice carry the same diabetes risk as other sugar-sweetened beverages?
Two clinicians disagree on a diagnosis after reviewing two-hour oral glucose tolerance test results. Who is correct?
A patient with newly diagnosed diabetes has a hemoglobin (Hb) A1c of 12.2% and glucose 350 mg/dL, despite increasing insulin (glargine [Lantus]) to 25 units. What else can be done to lower blood sugar?
A 69-year-old man with multiple health conditions develops gynecomastia after hemodialysis. Are the two related?
How can a clinician determine whether it's appropriate to raise or lower bedtime insulin in a patient experiencing difficulty controlling morning glucose levels?
When is it appropriate to refer diabetic and hypertensive patients to a renal specialist?
What is maturity onset diabetes of the young (MODY)? How does it differ from types 1 and 2 diabetes?
What is the treatment goal for B12 in a patient with diabetic neuropathy, given the wide range of normal (200-950 pg/mL)?
The risk for experiencing a serious GI event rises exponentially with increasing numbers of risk factors.
Following gastric bypass surgery, many patients will still need metformin or glipizide (Glucotrol). Is there any evidence that one class of hypoglycemic agents is better absorbed than another?
Tight glycemic, BP and cholesterol control, as well as weight reduction, exercise and smoking cessation can help prevent renal nephropathy.
What are the effects of using insulin detemir as first-line treatment for type 2 diabetes?
How much B12 supplement is adequate for patients on metformin?
Is there any role for C-peptide in the management of type 2 diabetes mellitus?
Is it prudent to discontinue insulin in an incarcerated man with diabetes who was started on insulin while in jail, but who wishes to stop treatment?
A black woman aged 52 years developed large (1.5-2.0 cm wide), fluid-filled blisters on her swollen ankles. There were no other symptoms, and the patient's health history was unremarkable except for anemia. What could be the cause?
Does research support the addition of coenzyme Q10 for those on lipid-lowering medication?
What is the best way to tactfully discuss a child's excess weight with his or her parent?
What are the most recent screening and diagnostic criteria for maturity-onset diabetes of the young?
A 54-year-old man from India with a history of type 2 diabetes, hypertension, and dyslipidemia, has cold hands and feet despite wearing sufficient clothing. A specialist has ruled out Raynaud's disease.
In rural health-care settings, many patients are reluctant to use insulin.
How high can creatinine go before you must...
A 48-year-old Caucasian woman diagnosed with type 1 diabetes at the age of 10 complains of stiffness in her wrists, elbows, knees, and ankles.
In light of concerns surrounding rosiglitazone (Avandia), what agent would...
Will using a diuretic with hydrochlorothiazide in a patient with hypertension and type 2 diabetes contribute to worsening of his hyperglycemia?
Is there any direct relation between consumption of corn tortillas and the incidence of...
Are individuals taking metformin for type 2 diabetes still allowed one or two alcoholic drinks daily?
Now that colesevelam (WelChol), a bile acid sequestrant (BAS), has been shown to decrease hemoglobin A1c (HbA1c), should it be the agent of...