MKSAP: 57-year-old man with type 2 diabetes mellitus

Test your medicine knowledge with theĀ MKSAP challenge, in partnership with theĀ American College of Physicians. A 57-year-old man with a 15-year history of type 2 diabetes mellitus is evaluated for bilateral burning sensation in his feet for the last 6 to 12 months. The sensation worsens at night. His HbA1c levels have remained less than 7.0% for the last 2 years but were between 8.0% and 9.0% before implementing significant lifestyle changes and transitioning to insulin therapy from metformin therapy 2 years ago. His medical history includes coronary artery disease, first-degree atrioventricular block, nonproliferative diabetic retinopathy, hypertension, and hyperlipidemia. Medications ...

Read the full post at KevinMD.com
Vote This Post DownVote This Post Up (No Ratings Yet)
Explore the Archive