Category: Clinical Concepts

Note: the listing of the drugs below is not a prescription for anyone. Taking diabetes medication without a doctor’s prescription can be fatal.

Type 1 Diabetes Mellitus

  • Usually young patients. 40% are lesser than 10 years of age.
  • Polyuria, polydipsia, weight loss
  • Random blood glucose levels of 200 mg/dL (11.1 mmol/L) or more.
  • Fasting blood glucose levels of 126 mg/dL (7.0 mmol/L) or more. Documented more than once.
  • Ketonemia, ketonuria, or both.
  • Islet antibodies usually identified.

Type 2 Diabetes Mellitus

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Drbeen Question (4001)

A 42 years old patient presents to your clinic for a complete physical because he recently moved here from another state. He feels in good health. He has never smoked, doesn’t have diabetes, and is sure that he does not have hypertension either. He exercises regularly and eats a healthy diet.
On physical examination, you notice a slow rising pulse. His apical beat is displaced to left 6th intercostal space in the mid-axillary line. A harsh mid-systolic murmur is heard best on the right 2nd intercostal space. You notice that the murmur is radiating towards the carotids. Murmur intensity decreases with Valsalva maneuver and increases with squatting. What is the most probable diagnosis in this patient?

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This is a guest post from Noah Smith at wellnessvoyager.com

Teens today have quite a bit to worry about, between pressures at school to perform well and fit in, the stress of figuring out higher learning and what comes next, and all the worries that come with social media. It can be difficult to know how to help when your teen begins to exhibit signs of anxiety–which can manifest into physical symptoms–but because anxiety can lead to depression and other mood disorders, it’s important to know what those warning signs are, how to help your child cope, and how to learn ways to prevent those feelings from coming back in the future.

Keeping the conversation open with your teen is a great start. That’s not always as easily done as one might hope, but showing your child that you understand what they’re going through–or are trying to–is an important part of helping her sort out her feelings, and it will help her learn to trust you.

Here are some of the best ways to help your teen with anxiety.

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