Diabetes Archives - Journal of Urgent Care Medicine

A Case of Late-Onset Diabetes

Urgent message: Previously undiagnosed diabetes in elderly patients is too frequently a precursor to the diagnosis of pancreatic cancer. Incidental and unexpected diagnosis of diabetes in older patients in urgent care, especially in normal or underweight individuals, should prompt a discussion about vigilant monitoring for other symptoms of malignancy and close follow-up with a primary care provider. Joshua Russell, MD, MSc, FCUCM, FACEP CASE PRESENTATION A 72-year-old woman with a history of hypertension presented to …

UCF Study Seeks to Quantify Early Diabetes Detection in Urgent Care

It’s not all that unusual for patients to be diagnosed with diabetes in an urgent care center they’ve visited for unrelated complaints. The question is, how common or uncommon is it, and will knowing the answer to that question help urgent care providers be better prepared for such occurrences? We may have a better idea once the Urgent Care Foundation (UCF) finishes its study to measure the benefits of diabetes screening in urgent care. With …

Ohio Urgent Care Operators Takes Part in Phase 3 Trial for Diabetes-Related Treatment

An urgent care operator in Ohio is one of the 14 sites in a phase 3 clinical trial for a prospective Allergan product to treat patients with diabetic gastroparesis (DG), a condition that slows or stops the movement of food from the stomach to the small intestine. The trial, officially titled A 46-week, Double-blind, Placebo-controlled, Phase 3 Study With a 6-week Randomized-withdrawal Period to Evaluate the Safety and Efficacy of Relamorelin in Patients with Diabetic …

States Report First Flu Cases—and Multiple Deaths

The flu season has barely begun, with the peak not expected for at least 2 months, but there’s already an uptick in reported cases—and multiple deaths—around the country. Just last week, Nevada reported three fatalities and North Carolina reported its first of the 2016–2017 season. The grim news is an opportunity to stress to patients the importance of getting their annual flu shot early, as suggested by the Centers for Disease Control and Prevention. Ask …

October 2016

ICD-10-CM and ICD-10-PCS Changes Effective October 1, 2016

Because it has been 4 years since the last annual update of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and because 2016 is the first year for the Centers for Medicare & Medicaid Services (CMS) to make updates to ICD-10-CM, CMS made many edits to the classification’s code set. On October 1, 2016, International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) will include 3651 new codes and 487 revisedcodes,1 and …

Original Research: Early Diabetes Screening in the Urgent Care, Part 1

Urgent message: Undiagnosed type 2 diabetes mellitus affects more than 9 million Americans. This first part of a two-part article focuses on evaluation of diabetes screening for the adult urgent care patient in whom diabetes has not been diagnosed, using effective early disease-detection strategies to reduce the long-term burden of diabetes. How this article helps you: by providing data to assist you in deciding about screening in your center. Introduction There are now more than …

59-year-old diabetic with pain and swelling in foot

The patient, a 59-year-old man with diabetes, presented with pain and swelling over his lateral right foot. View the image taken (Figure 1) and consider what your diagnosis would be.

Diabetes Mellitus: Current Diagnosis, Screening and Management Issues in Urgent Care

Urgent Message: Diabetes mellitus is a common, complex and important condition frequently encountered in the urgent care setting. This article reviews current diagnostic criteria for diabetes and prediabetes and types of diabetes and discusses issues related to screening for diabetes and management issues relevant to urgent care. The authors previously reviewed the management of acute hyperglycemia in the July/August 2012 issue of JUCM. Author: Anthony J. Pick, MD, CDE and David L. Pick, MD, FAAFP …

37-year-old diabetic female feeling weak after switching diuretics

The patient is a 37-year-old female who presented with a history of longstanding hypertension and diabetes mellitus. She had recently started on a new diuretic, and felt very weak and lightheaded. Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute. After reviewing the ECG, consider the following questions: 1. Based on this ECG, what type of diuretic is she likely to be taking? 2. How should she be managed?

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