Clinical Gems

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Jade, an 11-year-old girl, was admitted via the emergency department with hyperglycemia, ketonuria and a weight loss of 6 kg over the past 4 weeks. The only history of diabetes in …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. WWB was referred to the diabetes educator by a nurse working on a medical ward. “We have a man here on the medical ward with COAD (chronic obstructive airways disease). …

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 …