Background: Foot amputation rates in Black patients with diabetic foot complications have been historically higher than White patients. To determine if improvements in this disparity occurred, we carried out trend analysis of lower extremity amputation rates for patients hospitalized with diabetic foot ulcers and infections (DFU/Is). Methods: Using the National Inpatient Sample database, we conducted [...]

Case Presentation: An 80-year-old man with a history of Type 2 diabetes and chronic lumbar radiculopathy presented to the emergency room after four days of left thigh pain radiating from the groin and progressive left leg weakness, now needing a wheelchair. On exam of his left leg, he had decreased strength in hip flexion and [...]

Case Presentation: A 47-year-old woman with migraines, bipolar disorder, and hypothyroidism presented with a 2-day headache that was not improving with sumatriptan. She also complained of generalized weakness, dizziness, nausea, and vomiting. Workup revealed diabetic ketoacidosis, with blood glucose 530 mg/dL, venous pH 7.02, bicarbonate of 8 mmol/L, and anion gap 29. The patient had [...]

Case Presentation: A 57-year-old woman with type 1 diabetes on insulin pump and hypertension presented to the ED with abdominal pain with associated nausea/vomiting and shortness of breath for one day. She reported her insulin pump has been malfunctioning for several days. She denied fever/chills, chest pain, or diarrhea. She denied any toxic habits.Vital signs [...]

Case Presentation: A 25-year-old female with a history of hypertension and diabetes mellitus (DM) type 1 presented with altered mental status, abdominal pain, and tenderness. On presentation, she was afebrile, hemodynamically stable. Further workup revealed leukocytosis 27000/ml, acute kidney injury with creatinine 2.47 mg/dl, blood glucose 1000 + mg/dl; glycosylated hemoglobin A1c (HbA1c 11.5%); amylase [...]

Case Presentation: A 46-year-old male with a history of type II diabetes mellitus on metformin presented with five days of severe, post-prandial epigastric pain with inability to tolerate meals. Labs on admission were notable for mild hyperglycemia with finger stick blood glucose between 100 and 200 mmol/L with an anion gap of 21, pH 7.3, [...]