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July 01, 2009; Volume 76,Issue 7
Isaacson, J. Harry
- You have accessA 48-year-old man with uncontrolled diabetesMengjun Hu, BS and J. Harry Isaacson, MDCleveland Clinic Journal of Medicine July 2009, 76 (7) 413-416; DOI: https://doi.org/10.3949/ccjm.76a.09025
His type 2 diabetes has been well controlled for 6 years. Now, his blood sugar levels have been rising for the past week, and he has large amounts of glucose and ketones in the urine. What has happened?