Diabetes, prediabetes, and obesity may be metabolic drivers of polyneuropathy.
Are You Confident of the Diagnosis? What you should be alert for in the history Characteristic findings on physical examination Diabetic dermopathy presents as brown or pink well-demarcated macules or flat-topped papules on the bilateral pretibial areas of patients with diabetes mellitus. Typically, the lesions are round or oval and are less than 1cm in…
Increase in prevalence from 2002-2013, with highest prevalence among those aged 12 to 18 years
Are You Sure the Patient Has Diabetes Insipidus? Diabetes insipidus (DI) is defined as an uncontrolled solute-free water diuresis (which is also called “aquaresis”) due to an inability to maximally concentrate the urine. The clinical hallmark of DI is the excretion of a large volume of hypotonic, insipid (tasteless) urine, usually manifested by polyuria (increased…
Critical Care Medicine
1. Description of the problem Diabetic ketoacidosis (DKA) is a serious and potentially life-threatening complication of diabetes mellitus, usually type 1 insulin-dependent diabetes. It can occasionally be seen in patients with type 2 diabetes in the presence of stress, trauma or infection. It is characterized by hyperglycemia, elevated blood ketones with metabolic acidosis and dehydration…
Preliminary Diagnosis: Diabetic Ulcers I. What imaging technique is first-line for this diagnosis? After initial radiograph, magnetic resonance imaging is the imaging technique of choice. II. Describe the advantages and disadvantages of this technique for diagnosing diabetic ulcers. Advantages MRI can rule out complications of diabetic ulcers, such as osteomyelitis, fluid collections, abscesses, and sinus…
Filorexant is not effective in relieving painful diabetic neuropathy-related pain.
These results that there is a therapeutic window of THC concentrations for treatment of painful diabetic neuropathy.
News, Practice Management
For patients with diabetes, use of a patient portal can increase engagement in outpatient visits.
Most primary care physicians can't identify all 11 risk factors for prediabetes, and it's important to address gaps in knowledge.