Background: Diabetic ketoacidosis (DKA) is a serious, acute complication of diabetes mellitus caused by a state of insulin deficiency requiring exogenous insulin administration.  Significant variation in intensive care unit (ICU) admission rates for DKA exists among hospitals, due to patient- and institution-specific factors, with rates ranging from 16-81%.  Patients with DKA admitted to an ICU [...]

Case Presentation: A 51-year-old African-American female was admitted to the hospital with 3 days of bilateral calf pain, described as a severe cramping pain that started in the left medial calf. The patient first noticed the pain after walking two blocks. The pain did not subside with rest. The next day, the patient noticed similar [...]

Case Presentation: A 49-year-old man with type 2 diabetes was admitted to our hospital because of impaired consciousness. The patient was fatigued for 10 days and had visited his primary care physician who administered an intravenous drip the day before admission. In ER, he was unconscious with a Glasgow Coma Scale of 6; his breathing pattern [...]