Journal of Urgent Care Medicine

Original Research: Early Diabetes Screening in the Urgent Care, Part 2

Urgent message: Various methods have been suggested for screening for type 2 diabetes mellitus in the asymptomatic population, although more consensus about the best approach, especially in settings outside primary care, is required. The usefulness of a diabetes-screening pathway for the early detection of undiagnosed diabetes was assessed in a quality-improvement study of a convenience sample from an urgent care center. How this article/column helps you: by analyzing findings on how screening all adults for …

Original Research: Early Diabetes Screening in the Urgent Care, Part 1

Urgent message: Undiagnosed type 2 diabetes mellitus affects more than 9 million Americans. This first part of a two-part article focuses on evaluation of diabetes screening for the adult urgent care patient in whom diabetes has not been diagnosed, using effective early disease-detection strategies to reduce the long-term burden of diabetes. How this article helps you: by providing data to assist you in deciding about screening in your center. Introduction There are now more than …

Clinical Challenge: July/August, 2011

The patient is a 37-year-old female who presents with a history of long-standing hypertension and diabetes mellitus. She had recently started on a new diuretic and felt very weak and light-headed. Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute. View the patient’s ECG (Figure 1). Consider the type of diuretic is she likely to be taking and what your next steps would be. Resolution of the case is described …