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MKSAP quiz: Elevated HbA1c level, loss of energy in older patient

This month's quiz asks readers to evaluate a 71-year-old woman who reports no symptoms other than loss of energy. Her medical history is significant for hypertension, type 2 diabetes mellitus, and dyslipidemia.
https://diabetes.acponline.org/archives/2024/10/11/4.htm
11 Oct 2024

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MKSAP quiz: Poor glycemic control despite intensification

This month's quiz asks readers to evaluate a 47-year-old woman who was diagnosed with type 2 diabetes mellitus 14 months ago. Despite progressive intensification of diabetes therapy, her plasma glucose levels remain poorly controlled.
https://diabetes.acponline.org/archives/2024/07/12/4.htm
12 Jul 2024

MKSAP Quiz: Diagnosing diabetes

This month's quiz asks readers to evaluate an asymptomatic 37-year-old man whose hemoglobin A1c level is 6.3% and fasting plasma glucose level is 135 mg/dL.
https://diabetes.acponline.org/archives/2024/05/10/4.htm
10 May 2024

MKSAP quiz: Perioperative glucose control

This month's quiz asks readers to choose management for a 59-year-old man undergoing elective hip arthroplasty who has a recent hemoglobin A1c of 7.9% and a blood glucose concentration of 230 mg/dL (12.8 mmol/L) three hours before surgery.
https://diabetes.acponline.org/archives/2024/11/08/4.htm
8 Nov 2024

MKSAP Quiz: Hyperglycemia during hospitalization

This month's quiz asks readers to evaluate a 67-year-old man with hyperglycemia 3 days after admission for a COPD exacerbation. The patient's oral intake remains good.
https://diabetes.acponline.org/archives/2024/04/12/4.htm
12 Apr 2024

MKSAP quiz: Hypoglycemia from insulin error

This month's quiz asks readers to evaluate a 22-year-old woman with a recent type 1 diabetes diagnosis who has called about anxiety, shakiness, and sweating. She reports accidentally taking 18 units of insulin aspart before bedtime, rather than the prescribed basal insulin, insulin glargine.
https://diabetes.acponline.org/archives/2024/09/13/4.htm
13 Sep 2024

MKSAP quiz: Burning pain in feet

This month's quiz asks readers to evaluate a 55-year-old man with type 2 diabetes and burning pain in both feet.
https://diabetes.acponline.org/archives/2024/06/14/4.htm
14 Jun 2024

MKSAP Quiz: Evaluation in the ICU for urosepsis

A 70-year-old woman is evaluated in the ICU after admission for urosepsis. Appropriate antibiotics and intravenous fluids were initiated. She remains critically ill and continues to have poor oral intake. She has type 2 diabetes mellitus, which has been previously well controlled. Following lab tests, what is the most appropriate treatment?
https://diabetes.acponline.org/archives/2024/03/08/4.htm
8 Mar 2024

MKSAP quiz: Hypoglycemia evaluation

This month's quiz asks readers to evaluate a patient without diabetes who has recurrent hypoglycemia episodes.
https://diabetes.acponline.org/archives/2024/02/09/4.htm
9 Feb 2024

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