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Feature Article

Managing complex cases of diabetes

Joel W.J. Lasschuit, Jerry R. Greenfield

Figures

© monkeybusinessimages/istockphoto.com model used for illustrative purposes only
© monkeybusinessimages/istockphoto.com model used for illustrative purposes only

Abstract

Recognising and investigating patients with ‘peculiar’ cases of diabetes is crucial for effective management. Five clinical vignettes explore complex scenarios in diabetes care, including latent autoimmune diabetes of adulthood, young-onset type 2 diabetes, post-transplant diabetes mellitus, euglycaemic diabetic ketoacidosis and pancreatic cancer risk with glucagon-like peptide-1 therapy.

 

Key Points

  • The clinical presentation of diabetes is diverse and certain clinical features can help identify patients who require more detailed assessment.
  • Reaching a specific diabetes diagnosis and understanding the underlying pathophysiology is important for optimal management.
  • Most people with diabetes are managed in primary care, although those with complex cases of diabetes often benefit from the involvement of a multidisciplinary team, including an endocrinologist.
  • As therapeutics in diabetes are rapidly advancing, clinicians need to be vigilant for potential adverse effects and provide appropriate education to patients.

Figures

© monkeybusinessimages/istockphoto.com model used for illustrative purposes only
© monkeybusinessimages/istockphoto.com model used for illustrative purposes only