Mastery in Diabetes Management: New Diabetes Diagnosis Criteria Req'd for Asian Patients?
Nina Suda, MD
Nina Suda, MD, of Albert Einstein College of Medicine and Montefiore Medical Center in New York, spoke with MedPage Today at AACE 2017, the annual meeting of the American Association of Clinical Endocrinologists, about a case study involving a young Southeast Asian woman presenting with newly diagnosed type 2 diabetes and advanced diabetic nephropathy. Suda's full poster may be downloaded by clicking here.
Following is a transcript of her remarks:
The title of my poster is 'Newly diagnosed insulin-dependent diabetic nephropathy: Do we need different criteria for screening and diagnosis of diabetes in South-East Asians?'
This was a 27-year-old female, she was Sri Lankan, and she came to us with a neck abscess that she had been complaining of for two weeks. She initially presented to an urgent care center and they had said, "Here's some amoxicillin, Advil -- it should get better over time." Unfortunately, it didn't and then she came to Montefiore Medical Center where she presented in the ED, and with which she complained of an abscess that was growing.
What we do know about her is that she was diagnosed with hypertension two years ago. This was on a routine physical. She had seen her primary care doctor, she told us, and they started her on Enalapril. She's been completely compliant with it. So, the only meds that she was taking was the amoxicillin and the Advil, which was for the abscess that she had for about a week. She said that she was on no other medications.
Her family, they didn't have any medical conditions other than diabetes that were diagnosed, and a Continue reading