Case Presentation: A 74-year-old Caucasian male presented to our emergency department with unintentional movements of right arm and right leg for 1 day. He was diagnosed with type 2 diabetes mellitus 20 years ago and is not compliant with his insulin regimen. His medical history is also significant for diabetic neuropathy, hypertension and depression. Physical [...]

Case Presentation: A 58 year old female with history of hypertension, hypothyroidism and noninsulin dependent diabetes mellitus presented with two days of involuntary movements of her right upper extremity. Bloodwork was remarkable for blood glucose 1273MG/DL, anion gap 15, serum creatinine 2.0 MG/DL from normal baseline, no ketosis. Infectious workup with urinalysis, respiratory viral panel [...]