In Reply: Dr. Jenkins brings up an important issue in his letter, and in fact we endorse his approach of ordering tests only if they will lead to a change in management. As we outlined in our case, clinical information alone strongly supported the diagnosis of type 2 diabetes mellitus.
In reply: Diabetic ketoacidosis
J. Harry Isaacson, MD
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
IM Board Review
- Mengjun Hu, BS
- J. Harry Isaacson, MD
His type 2 diabetes has been well controlled for 6 years. Now, his blood sugar levels have been rising for the past week, and he has large amounts...