Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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November 4, 2021
A 70-year-old man with type 2 diabetes and hypertension presents to the ED with a 12-day history of abnormal involuntary left arm movements with progressive strength that disappeared during sleep, and 3 days of similar symptoms in the left leg. At admission, glucose is 241 mg/dL, HbA1c is 14%, ketones are not present in the urine sample, and pH is normal.
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