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Average daily glucose and insulin requirement from the time of diagnosis of pancreatic adenocarcinoma to 4 days before subtotal pancreatectomy. The daily insulin requirement of the patient markedly increased from 36 units at the time of initial endocrinology evaluation to 940 units in the course of 4 weeks. The patient’s course was complicated by functional decline and visit to the emergency department (ED) for severe hyperglycemia. TDD = total daily dose
