Copyright © 2012 Massachusetts Medical Society. A 42-year-old asymptomatic man with hypertension presents for his annual physical examination. His medications include atenolol combined with chlorthalidone (at doses of 50 mg and 25 mg, respectively, per day). Both parents had type 2 diabetes mellitus later in life. He does not smoke cigarettes. His body-mass index (BMI, the weight in kilograms d...

Diabetes mellitus is suspected based on symptoms. Urine and blood tests can be used to confirm a diagnosis of diabetes based on the amount of glucose in the urine and blood. Urine tests can also detect ketones and protein in the urine, which may help diagnose diabetes and assess how well the kidneys are functioning. These tests can also be used to monitor the disease once the patient is under t...

OBJECTIVE The purpose of this study was to examine age of diabetes diagnosis in youth who have a parent with diabetes by diabetes type and whether the parent's diabetes was diagnosed before or after the youth's birth. RESEARCH DESIGN AND METHODS The cohort comprised SEARCH for Diabetes in Youth Study participants (diabetes diagnosis 2001-2005) with a diabetic parent. SEARCH is a multicenter s...

multiple myeloma is a malignant plasma cell disorder that accounts for approximately 10% of all hematologic cancers. it is characterized by accumulation of clonal plasma cells, predominantly in the bone marrow. the prevalence of type 2 diabetes is increasing; therefore, it is expected that there will be an increase in the diagnosis of multiple myeloma with concomitant diabetes mellitus. the tre...

OBJECTIVE To describe and analyze medical care costs for the 8 years preceding a diagnosis of type 2 diabetes. RESEARCH DESIGN AND METHODS From electronic records of a large group-model health maintenance organization (HMO), we ascertained the medical care costs preceding diagnosis for all members with type 2 diabetes who were newly diagnosed between 1988 and 1995. To isolate incremental cost...

Aims To examine the factors associated with diabetes, a late diabetes diagnosis, and whether these factors are different for males and females. Methods Cross-sectional study including 7101 individuals aged ≥25 years in Newfoundland and Labrador, Canada (466 with diabetes; 332 diagnosed late). Logistic regression analysis was used to determine the factors associated with a diabetes diagnosis a...

Diagnosis of diabetes in youth is increasing in the U.S. (1,2). It is not known how much of this change is due to an increase in diabetes and how much is due to improved case detection, especially for type 2 diabetes. Some researchers have hypothesized that part of the explanation for the increase in diabetes diagnosis in youth is increased screening, resulting in a higher percentage of cases b...

compiling clinical guidelines is one of the requirements of family physician plan and classification of health care services.1 the high prevalence of type 2 diabetes can easily be seen in general practice so that 2.5% of referrals to general practitioners are due to diabetes. more than half of the patients with type 2 diabetes are left undiagnosed and most of them suffer from its complications ...