Clinical Gems

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. BG was referred to a diabetes multidisciplinary team by his GP. “Mr. BG is a 70-year-old man. Can you help me develop an appropriate management plan? He has had diabetes …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. AT self-referred to the diabetes center for advice when he was told he needed insulin by his GP. “I have type 2 diabetes which is reasonably controlled on DiaBeta (glibenclamide) …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. LOQ self-referred to a diabetes center. “I have a horrible burning feeling in my feet especially at night. I have had diabetes for a while and find it hard to …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Ms. CP self-referred to a diabetes educator for advice. “I have had type 2 diabetes for 8 years and I take metformin and Diamicron (gliclazide) every day. I go to the …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. PC was referred to a tertiary diabetes clinic by a practice nurse (nurse working in a general practice): “Can you help me sort out this confusing issue both for the …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. WC self-referred to a diabetes centre at a tertiary hospital. “I am confused about the recommendations for diet, especially the GI. As a veteran of 27 years of type 1 …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. VR was referred to the endocrinology department of a major hospital to ‘get his diabetes fixed up’ after he presented to the emergency department. Mr. VR is a 69-year-old man …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr.  BE was referred by a nurse working in acute care. Mr. BE is a 78-year-old male who had lithotripsy yesterday. He had an incidental random glucose 12.8 BGLs on ward range …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. ORA was referred to a diabetes educator when she developed diabetes at 29.5 weeks’ gestation. Mrs. ORA is a 30-year-old primigravida and is 29.5 weeks pregnant. She was referred to the …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. MJ was referred to a diabetes centre by her GP.  Mrs. MJ, a 60-year-old woman with type 2 diabetes since 2000, presents with…