Louis V. Avioli, MD, Professor of Medicine, Director, Division of Bone and Mineral Metabolism, Washington University School of Medicine, Jewish Hospital of St Louis: This Grand Rounds article on the treatment of diabetic complications is a bit unusual, as there is no case presentation. There is no internist who does not have in his practice a diabetic patient who is blind, one with an amputated leg, or another suffering from severe neuropathy or end-stage renal disease. Therefore, we all have our own case histories.
While this article is entitled "Prevention and Treatment of Diabetic Complications," it might just as well be called "What Do You Do After the Internist Fails," which, unfortunately, is the rule rather than the exception. Dr Levin will evaluate the current status of the medical approach to diabetic complications. Dr Boniuk will explore the treatment of diabetic retinopathy with photocoagulation and the use of vitrectomy, and