Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Lousy diabetic control , possibly related to diet or faulty management. Knowing what we know about this guy, this seems unlikely.

• Multiple strings in his endocrinologic cat's cradle are being pulled. In other words, there is excessive endogenous production.

• glucagon secreting tumor
• growth hormone excess
• excess glucocorticoids
• anti-insulin antibodies

 
• Actually, I don't know squat about the glucose tolerance test, how do you do it and what does it mean?

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