Clinical Gems

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…

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath   Mr. KM was referred to a diabetes center by his GP. Mr. KM is a 77-year-old man who has had type 2 diabetes for 17 years: current HbA1c 9.5%; random …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. PJ was referred to the diabetes centre by a physician in the infectious diseases department of a large metropolitan hospital. Mrs. PJ is an 80-year-old woman who has had type …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. MS was referred by a diabetes educator in a rural area to a metropolitan diabetes educator. Mrs. MS is 45 and has not had any medical assessment for 18 months. She is …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mr. TE was an inpatient and was referred to a diabetes educator. Mr. TE is a 78-year-old man with type 2 diabetes who has a history of cancer and was referred …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. RS was referred to an endocrinologist by her GP: “Mrs. RS is a 60-year-old woman with type 2 diabetes. She has a strong family history of hypercholestaemia, hypertension and cardiac …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. KB was referred to an endocrinologist by her GP: Thank you for advising about this 59-year-old woman with type 2 diabetes. She has all the risk factors for cardiovascular disease, …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath Mrs. AV was referred to the endocrinologist for ‘assessment and advice’ by her GP. Mrs. AV is a 68-year-old Greek-speaking woman with type 2 diabetes of 20 years’ duration. She has …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath This week, we continue with Part 4 of our special series of case discussions. CASE DISCUSSION: Mr. ZM Mr. ZM was referred to an endocrinologist by his GP at the request …