Duration of symptoms prior to diagnosis varies by age: may be days in toddlers, months in adolescents.
Polyuria, nocturia, and enuresis are related to hyperglycemia >180 mg/dL.
Polyd...
Insulin is administered as a fixed or flexible regimen.
Total daily dose (TDD)—calculated by adding up all short- and long-acting insulin given over 24 hours—usually ,0.7 to 1...
Regular appointments with diabetes specialist every 3 months to assess management:
HgbA1c assessment at each visit (with generally recommended go...
American Diabetes Association. 2. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41(Suppl 1):S13–S27. [View Abstract...
250.01 Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled
250.91 Diabetes with unspecified complication, type I [juvenile type], not stated ...
Q: What is the risk of diabetes in a sibling or child of a person with type 1 diabetes?
A: It is 5–10% in 1st-degree relatives (siblings, offspring) and 40–50% in identical twins.
Q: Should children...
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Homeless diabetic man with painful foot showing gangrene and dystrophic nails
<bold><italic>Figure 14.60.</bold></bold> Pretibial diabetic skin changes: necrobiosis lipoidica diabeticorum.
FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-level spondylodiscitis, L3-5, with secondary communicating psoas abscess component.
FIG. 11 Diabetic patient with acute spontaneous onset of low back pain and fever. <bold>A,B:</bold> Dramatic elements of two-l...
<bold>Figure 11.93. Neuropathic (Charcot) joints in two diabetic patients. A.</bold> Radiographs of both feet show bilateral neuropathic joints at the first metatarsophalangeal joints (<italic>arrows</bold>). On the left there is periarticular osteopenia, indicating superimposed infection. Frontal <bold>(B)</bold> and lateral <bold>(C)</bold> knee radiographs of another patient show disintegration of the knee joint with considerable bony debris (" bag of bones") and a large joint effusion. In the past, involvement o...
<bold>Figure 11.93. Neuropathic (Charcot) joints in two diabetic patients. A.</bold> Radiographs of both feet show bilateral n...
Necrobiosis lipoidica diabeticorum. Atrophic patch present x 6 mo.