History of poorly controlled

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52-year-old female with history of poorly controlled type 1 DM presented for follow up on labs. She has stage 3b CKD with a GFR of 35. PTH level today came back at 88. She is already under the care of a nephrologist.

- What do you suspect is happening with the patient?

- What would you do next? Would you order further testing? If so, what tests and why?

- What would you tell the patient about the lab results? What patient education would you provide?

Reference no: EM133696748

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