Endocrinology Feature Archive
A 36-year-old man with type 1 diabetes presents to the emergency room with hyperglycemia and possible diabetic ketoacidosis after not taking his insulin for 3 days.
A study of one tracking system's effect finds improvement in the management of diabetes.
A 63-year-old man with type 2 diabetes was admitted to the hospital to undergo right robotic partial nephrectomy.
The document addresses important new issues in diabetes management, including metabolic surgery and a more specific definition of hypoglycemia.
A patient notes concerns with vision difficulty 4 years after undergoing a laparoscopic biliopancreatic diversion with a duodenal switch.
Often underreported and undertreated, outcomes can be improved in this condition with appropriate screening and diagnosis.
Effective use of research-based interventions and recommendations for overweight and obese children begin with initiating a conversation with the family.
A patient came to the clinic to discuss her dizzy spells 4 years after her Roux-en-Y gastric bypass surgery.
Patients should be encouraged to incorporate daily exercise into their treatment regimen.
When symptoms of thyroid disease are present, clinicians should check thyroid antibodies even if thyroid function is normal.
A patient with type 2 diabetes is undergoing dialysis and needs to control his HbA1c levels while fasting during Ramadan.
A patient comes to her yearly nutrition check-up 11 years after undergoing gastric bypass surgery with reports of loose stools with significant odor several times per day.
Developing personalized nutrition goals with a registered dietitian can be effective in managing non-insulin-dependent diabetes.
A patient with type 2 diabetes presents with elevated microalbumin levels and a recent history of elevated glucose due to bedtime snacking.
Vitamin D deficiency is especially prevalent in postmenopausal women, and recommendations from current guidelines are inconsistent regarding vitamin D use.
While undergoing physical therapy after a stroke, a patient with type 1 diabetes has a hypoglycemia-related stroke.
After steadily gaining weight for 10 years, an obese patient seeks help in achieving sustained, long-term weight loss.
Patients with type 2 diabetes and severe insulin resistance may require large doses of insulin to achieve glycemic control.
Patients who forget to take Metformin SR twice daily can be switched to Metformin XR with once daily dosing.
Patients aged 20 to 44 years who have diabetes have unique health concerns compared with older and younger patients with diabetes.
A patient visits her primary care physician for a two-year follow-up after a Roux-en-Y gastric bypass surgery to check for complications.
SGLT2 receptor blockers are only approved for type 2 diabetes.
An older patient with type 2 diabetes expresses concern about potential peripheral neuropathy.
Obese adolescents have an increased risk of slipped capital femoral epiphysis (SCFE).
A patient with diabetes questions the necessity of starting a statin.
The patient, aged 69 years, had a 43-year history of type 1 diabetes and was scheduled to undergo a chest wall resection.
A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.
Metabolic syndrome can be managed using changes in diet and exercise.
Adequate fiber intake is critical for maintaining good health, but only 5% of Americans consume the recommended daily amount.
When creating outpatient diabetes management plan, the patient's inpatient medication regimen should be considered but not necessarily replicated.
In 2012, the ADA and the EASD published a position statement on the management of hyperglycemia in patients with T2DM. In January, 2015, the ADA and EASD issued an update to the original 2012 statement.
NPs and PAs must work in collaboration with oral health clinicians to effectively educate patients in the prevention of periodontal disease.
An older male patient started antidepressants for neuropathy pain but developed hyponatremia as a result.
Glucomannan can help treat obesity and comorbid conditions of type 2 diabetes, heart disease, and early mortality.
A patient, aged 57 years, was admitted to the hospital to undergo gastric bypass surgery. He had a history of type 2 diabetes for ten years.
A patient with type 2 diabetes for ten years experienced three recent hospitalizations and a COPD exacerbation that required an increase in maintenance steroids.
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.
When diagnosing the cause of chronic abdominal pain, a more specific history and a broad consideration of causes can help with diagnosis.
A patient, Ms. B., was diagnosed with type 1 diabetes three years ago.
Encouraging a patient to get an overdue Pap exam resulted in an early discovery of uterine cancer that could have gone undetected.
A type 1 diabetes patient presents to an outpatient facility agitated and slurring his words. Emergency medical help was called to assist the patient.
An obese patient with chronic hepatitis C, diabetes, advanced cirrhosis, and fatty pancreas presents with chronic right-to-middle upper-abdomen pain.
Compared with patients who had not taken statins, those who had were less likely to develop diabetic neuropathy by 34%, diabetic retinopathy by 40%, and gangrene by 12%.
After a patient's elective surgery was postponed due to glucose readings, an assessment of his medical profile and history were evaluated to manage his type 2 diabetes mellitus complications.
How can a clinician distinguish chronic pancreatitis from acute pancreatitis in a patient with alcohol-abuse history?
The Grain Foods Foundation explores popular carbohydrate-related myths and assumptions patients with diabetes have likely encountered.
Each patient loses 0.8% kidney function/year after the age of 30. If you round this to a loss of 1% per year (for simplicity), you can calculate if a GFR is normal for a patient's age.
In specific situations, clinicians should monitor a patient's metformin use in order to prevent dialysis and higher risk of kidney failure.
Lack of confidence when mobilizing and hypoglycemia in an elderly lady with type 2 diabetes.
Half of the patients in the study were newly diagnosed with four or more symptoms of metabolic syndrome.
Airflow disturbances during sleep need to be recognized and evaluated before harm comes to the patients themselves or those around them.
Patients who ate nuts regularly had reduced diabetes, fatal and nonfatal ischemic heart disease.
A patient recently diagnosed with diabetes complains of worsening malaise and fatigue as well as bilateral extremity cramps.
Multiple studies show that just about any low-meat or no-meat diet reduces almost all controllable risk factors for cardiovascular disease.
The longest time to achieve pregnancy occurred in couples in which both partners had high cholesterol levels.
Our patient had an extensive medical history, but were her new-onset symptoms the result of poor compliance?
Only about one-third of the coronary plaque detected showed calcification.
Heavy metal exposure from a patient's well water accelerated multisystem damage associated with diabetes.
Assessing BMI regularly can help prevent long-term obesity problems.
A "bruise" from a minor injury continues to linger for weeks.
Are hormonal changes to blame, or something else?
Are more aggressive approaches to cardiac work up warranted in patients with diabetes?
In which disease states or at what stages of chronic kidney disease is the HbA1c test no longer reliable?
What is the best, safest and most cost-effective treatment for women with excess body hair?
Dietary supervision may have driven the patient out of his facility.
Frequent infections in obese patients lead to more frequent use of antibacterial medications in this population than in those who are not obese.
Children with this condition develop an insatiable appetite that leads to obesity, diabetes, hypertension, and behavioral problems when not treated.
A fragility fracture is defined as a fracture resulting from a fall from a standing height or less.
Despite adhering to lifestyle modifications, a woman's glycemic control remains inadequate.
Should oral progesterone be prescribed in combination with vaginal estrogen?
Garcinia cambogia has potential as a weight-loss aid, but has significant associated risks.
Why are individuals with diabetes especially prone to developing frozen shoulder?
Green coffee extract appears to be safe and somewhat effective in increasing the efficacy of regular weight-loss methods.
A patient requests her testosterone level be checked because she had heard that belly fat is related to low testosterone levels. Is there any truth to this?
An off-label treatment gives a patient in pain a second chance.
Many patients with diabetes develop poor blood-glucose monitoring habits over time. Reviewing technique helps assure the process is painless.
A middle-aged man presents with palpitations, tachycardia, tremors, and extreme anxiety.
Does fruit juice carry the same diabetes risk as other sugar-sweetened beverages?
There is a direct correlation between testosterone and metabolic syndrome, mental function, libido, erectile dysfunction, bone density, and overall energy.
Bariatric surgery may induce type 2 diabetes remission in obese patients, but more direct evidence is needed.
Omega-3 fatty acid supplementation does not reduce mortality or cardiovascular events in patients with or at high risk for diabetes.
Are there any studies that support eliminating foods like sugar, milk and wheat to improve Hashimoto disease symptoms?
Omega-3 supplements can help constipation in postmenopausal women taking calcium and vitamin D supplements.
The seeds of the fenugreek plant, which are used for medicinal purposes, contain saponins, alkaloids and other antioxidants.
Primarily used in food and drink packaging, ingestion of bisphenol A has recently been linked to obesity, diabetes, and reproductive disorders.
Mounting evidence suggests current food production, transport and land use may negatively impact both climate and obesity outcomes.
Minerals in tap and bottled water can deactivate some of the hormones in thyroid medication.
Are dual-energy x ray absorptiometry scans safe for patients taking anti-seizure medication?
Can thyroid hormone replacement therapy affect bone density?
A patient has elevated creatine and fasciculations. Could an electrolyte imbalance be the cause?
Excess fat around the gluteal region can make performing digital rectal exams in obese patients difficult. How can this challenge be overcome?
Two clinicians disagree on a diagnosis after reviewing two-hour oral glucose tolerance test results. Who is correct?
Vitamin D promotes absorption of calcium in the intestine and maintains adequate serum phosphate and calcium concentrations.
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?
Conversations about weight loss can contribute tremendously to behavioral changes, but tangible examples may be even more effective.
Could a vegetarian diet be contributing to an older woman's alopecia?
How should a primary care clinician follow-up after performing a lipid profile on an obese pediatric patient?
Could positive thyroid peroxidase adversely affect a mother's milk supply?
Was a clinician negligent in the administration of a standard drug used for treating pancreatitis?
Two patients present with asymptomatic red lesions -- a 60-year-old man, whose lesion was present for five years before beginning to bleed, and a 27-year-old man whose lesion doubled in size during a two year period. Can you differentiate between the two?