A new paradigm in the management of diabetes mellitus evolved following the introduction of continuous subcutaneous insulin infusions (CSII) into clinical practice. Outcomes include greater patient satisfaction alongside improved glycemic control. Drawbacks, however, which cannot be omitted, include patient, technology, and both patient and provider error.
View Article and Find Full Text PDFDiabetes insipidus is a condition characterized by inappropriately dilute urine in the setting of serum hyperosmolality. The two predominant subtypes include central (from lack of vasopressin production) and nephrogenic diabetes insipidus (from renal resistance to circulating vasopressin). A common manifestation is the significant pursuant thirst from excessive polyuria.
View Article and Find Full Text PDFAn ill-defined association exists between diabetes mellitus (insulin resistance) and primary hyperparathyroidism. This article explores this phenomenon while providing an explanation for such a relationship and reviewing the evidence regarding the response to insulin sensitivity following a parathyroidectomy. Primary hyperparathyroidism may increase the risk of developing insulin resistance; peculiarly, this is not present in all patients.
View Article and Find Full Text PDF