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A 64-Year-Old Man With Adult-Onset Diabetes
Arthur H. Rubenstein, MD
JAMA. 1996;276(10):816-822.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Dr Delbanco:
Mr D is a 64-year-old married man who is now a media announcer after a career as a salesman. He has long-standing diabetes mellitus, first diagnosed when he was 38 years old. He has private health insurance through a managed care plan and receives ongoing care from Dr S, a general internist in a suburban community near Boston.
A man who has enjoyed competitive tennis all his life, Mr D is 6 ft (180 cm) tall and has maintained a steady weight of about 178 lb (80 kg). There is a distant smoking history of about 20 pack-years; he has not smoked since 1970. He has 1 or 2 alcoholic beverages daily; there is no history of alcohol or drug abuse. He has no family history of diabetes mellitus. He continues to play tennis at least 3 times a week for 2 to 3 hours and enjoys horseback
. . . [Full Text PDF of this Article]
Author Affiliations
Discussant
Dr Rubenstein is the Lowell T. Coggeshall professor and chairman of the Department of Medicine, University of Chicago (III).
Footnotes
This conference took place at the Medicine Grand Rounds, Beth Israel Hospital, Boston, Mass, on May 9, 1996.
Reprints: Thomas L. Delbanco, MD, Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY310, Boston, MA 02215.
Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.
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