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This interactive feature allows readers to decide on the diagnosis or management of a clinical case. A case vignette is followed by specific clinical options, none of which can be considered either correct or incorrect. Readers can participate in forming community opinion by choosing one of the options and, if they like, providing their reasons.

Read the Case Vignette and consider the Treatment Options, then Vote and share your Comments.

Previous Volume 358:293-297 January 17, 2008 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Case Vignette

A 55-year-old woman with type 2 diabetes, obesity, and hypertension has been under your care for the past 2 years. She has no history of microalbuminuria, retinopathy, or neuropathy. She has never had a cardiovascular event and reports no cardiac symptoms.

In the past, she has successfully lost weight (from 5 to 12 kg) on various diets but each time has regained all of the weight she lost. She tries to walk 30 minutes each day. She monitors her fasting glucose levels three times weekly using a personal glucometer, and her morning fasting glucose levels have ranged between 110 and . . . [Full Text of this Article]

Treatment Options

Cast Your Vote

This article has been cited by other articles:

• Meneghini, L. F. (2009). Early Insulin Treatment in Type 2 Diabetes: What are the pros?. Diabetes Care 32: S266-S269 [Full Text]  
• Esposito, K., Ciotola, M., Maiorino, M. I., Gualdiero, R., Schisano, B., Ceriello, A., Beneduce, F., Feola, G., Giugliano, D. (2008). Addition of Neutral Protamine Lispro Insulin or Insulin Glargine to Oral Type 2 Diabetes Regimens for Patients with Suboptimal Glycemic Control: A Randomized Trial. ANN INTERN MED 149: 531-539 [Abstract] [Full Text]  
• Halperin, F., Ingelfinger, J. R., McMahon, G. T. (2008). Management of Type 2 Diabetes -- Polling Results. NEJM 358: e8-e8 [Full Text]