An overweight 55-year-old woman presents for preventive care. She notes that her mother died of diabetes, but reports no polyuria, polydipsia, or weight loss. BP is 144/92 mmHg, fasting blood glucose 148 mg/dL, HbA1c 8.1%, LDL-cholesterol 200 mg/dL, HDL-cholesterol 30 mg/dL, and triglycerides 252 mg/dL.
Patients with type 2 diabetes can also present with symptoms such as increased urination, thirst, and appetite; unexplained weight loss; blurred vision; fatigue; paresthesias; or urinary tract or candidal infections.
Hyperglycemic crisis (diabetic ketoacidosis or hyperosmolar hyperglycemic state) is the first presentation of diabetes in up to 20% of patients.
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