Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA [...]

Background: Guidelines for inpatient diabetes management recommend insulin therapy for persistent hyperglycemia >180 mg/dL with a target glucose range of 140 – 180 mg/dL.1,2 Although guidelines recommend glucose monitoring for insulin administration, there is no standard monitoring approach for patients without evidence of persistent hyperglycemia. As such, hospitalized patients are frequently started on 3 – [...]

Case Presentation: A 69-year-old woman, previously diagnosed with type 2 diabetes and managed with Metformin, along with a history of heart failure with preserved ejection fraction, was admitted to the hospital due to abdominal pain, nausea, vomiting, and diarrhea that had been ongoing for the three days leading up to her presentation. On arrival at [...]

Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a [...]

Case Presentation: A 60-year-old female with no past medical history presented to the emergency department with subacute worsening right thigh swelling and pain. Her history included mild trauma to her right thigh during a recent cross-country road trip. Her physical exam showed significant swelling and tenderness to the anteromedial right thigh with palpable distal pulses [...]

Case Presentation: A 44-year-old man with a past medical history of poorly controlled diabetes mellitus type 2 presented to the emergency room with 7 months of bilateral leg pain and swelling that acutely worsened in the last 2 weeks and multiple recent mechanical falls. The falls were not associated with loss of consciousness or other [...]

Case Presentation: A 50 year old female with history of type 1 diabetes mellitus, alcohol use disorder, and mood disorder was found down and unresponsive. She was intubated in the ED and admitted to the ICU for further management. Initial laboratory data was concerning for diabetic ketoacidosis, with a pH of 6.8, glucose 794 mg/dL, [...]