Diabetes
R.M. is a 17-year-old African-American girl with new-onset
diabetes, presumed to be type 2 diabetes. She presented to her
pediatrician during the winter months with the classic symptoms of
polyuria and polydipsia. She reported weight loss over the
preceding weeks, but was otherwise well. Her family history was
positive for type 2 diabetes in grandparents and some distant
relatives and negative for autoimmune diseases.
Physical examination revealed a blood pressure of 103/53 mmHg,
pulse of 79, and temperature of...