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A 46-year-old man presented at our hospital on March 31, 1998, with a one-week history of polydipsia and polyuria. The physical examination was normal except for the presence of obesity (body-mass index [the weight in kilograms divided by the square of the height in meters], 29.4). Hyperglycemia was documented, and the patient was treated by dietary restriction and 500 mg of metformin three
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