Posts Tagged ‘diabetes mellitus’

Adalimumab in Patients with Active Non-Infectious Uveitis

Posted by • September 8th, 2016

A 44-year-old woman with type 2 diabetes mellitus and sarcoidosis presents with a 3-week history of severe visual disturbance in both eyes. After referral to an ophthalmologist, she is diagnosed with idiopathic posterior uveitis. Her symptoms improved while receiving oral steroids over the course of 5 months. However, after completing steroid treatment, her glycemic control… Read More…

Closed-Loop Insulin Delivery during Pregnancy in Women with Type 1 Diabetes

Posted by • August 17th, 2016

A 32-year-old woman with type 1 diabetes mellitus presents to your office. She is 8 weeks pregnant. Her blood sugar has been well controlled on a standard insulin pump, but she understands that blood sugar can be more difficult to control during pregnancy.  You have previously discussed the importance of tight glucose control in pregnancy… Read More…

Acute Kidney Injury and Chronic Kidney Disease

Posted by • July 4th, 2014

This new review article considers evidence that acute and chronic kidney diseases are not distinct entities but rather are closely interconnected.  The implications of this insight are discussed in terms of the approach to patients with kidney disease. During the past decade, separate conceptual models for chronic kidney disease and acute kidney injury were developed to… Read More…

Poorly Controlled Diabetes Mellitus and Fatigue

Posted by • May 31st, 2013

In the latest Case Record from the Massachusetts General Hospital, a 56-year-old woman with diabetes mellitus was admitted to the hospital because of hyperglycemia and chest pain. Approximately 4 years earlier, a chest radiograph showed a solitary pulmonary nodule in the right upper lobe.  The differential diagnosis for uncontrolled diabetes includes undertreatment or misdiagnosis of… Read More…