A 64-Year-Old Man With Adult-Onset Diabetes
Since this article does not have an abstract, we have provided the first 150 words of the full text.
Excerpt
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
Footnotes
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This conference took place at the Medicine Grand Rounds, Beth Israel Hospital, Boston, Mass, on May 9, 1996.
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Reprints: Thomas L. Delbanco, MD, Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY310, Boston, MA 02215.
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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.
