Case presentation ab is a retired 69 year old man with a 5 year history of type 2 diabetes although he was diagnosed in 1997 he had symptoms indicating hyperglycemia for 2 years before diagnosis. Silvio e inzucchi md offers his clinical perspectives in this case study exploring management and treatment of a patient with type 2 diabetes and multiple comorbidities including heart failure obesity and coronary artery disease. There have been many studies that have been conducted meant to access the effect of alcohol consumption on diabetes some suggesting that a moderate intake contributes to the risk for diabetes and others suggesting moderate alcohol is a protective for type 2 diabetes. Diabetes case study there has been a 350 fold increase of type 1 diabetes in the past 50 years in europe and north america this autoimmune disease usually strikes children and teens thirty five percent of individuals with type 1 diabetes will die of heart disease by the age of 55. Case notes this patient presented to the emergency department with acute onset diabetes with classic symptoms of insulin deficiency compatible with a diagnosis of type 1 diabetes approximately 25 of patients that present with dka have new onset of type 1 diabetes
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