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Editor’s Note, DCMS #148

Aug 5, 2013

The most severe potential complication of DKA management is cerebral edema. It accounts for 60 – 90% of all DKA deaths. So if a newly diagnosed or young patient starts to slip into DKA, the proper treatment is very, very important. In addition, diagnosing cerebral edema is hard especially in the small window of time available. Learning how to do this is an art and you can become an expert by reading this week’s Clinical Text from Diabetic Emergencies: Diagnosis and Clinical Management.

Have you ever heard of Melanocortin-4 receptor gene (MC4R) variants?  If you haven’t, then you may not know these genes are associated with obesity and binge-eating disorder (BED). If you want to learn about this and other genomic reasons for obesity then check out this week’s Homerun Slides from Dr. Stanley Schwartz.

Simple mis-habits can sometimes have a negative effect on glucose control as is seen in this week’s Diabetes Disaster Averted. What drugs are available for diabetes care in children? Silva Arslanian, MD, has the answers and they might surprise you.