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Figure 11-1 Estimated Cumulative Cost (Average per Patient) of Managing Complications of Type 2 Diabetes According to Type of Complication. (From. Caro JJ, Ward AJ, O'Brien JA. Lifetime costs of complications resulting from type 2 diabetes in the US.

Patients with secondary hyperparathyroidism tend to have serum calcium levels that are either normal or marginally reduced despite an elevation intact parathyroid hormone levels (iPTH). Bone and joint pains may develop and slowly progress until the patient is bedridden.]