Endocrinology

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Progressive β-cell failure is a core defect of type 2 diabetes; most patients will eventually need insulin replacement therapy. When is the right time? Here, 5 scenarios that may help you make a decision.

A 36-year-old pregnant woman at 27 weeks gestation presented to the obstetrical triage for evaluation of possible abscess due to a lesion on her buttock that first appeared 1 week ago. Since that time, it has become increasingly painful and itchy. Although she denies any systemic symptoms, her pregnancy is complicated by gestational diabetes and obesity. However, she is HIV negative and her other prenatal labs were unremarkable.