Like rty9, I am a diabetic. I am seen for primary care in a federally supported community clinic of a major academic medical center, Montefiore, in the Bronx, where I live. Most of the patients, including myself, are low income, many on medicaid or uninsured. I have also been seen by a private endocrinologist. In both settings, everyone who is diabetic or pre-diabetic has a glucose finger stick test each time he/she comes in. It does not need to be done by a doctor, or sent to a lab. The whole thing takes a minute and results are available immediately. Even if this doctor was so out of it that she thought this lovely child had type II diabetes, if she had been doing this simple finger stick she would have known her glucose was through the roof. This negligence of the basics of endocrinology amounts to homicide. Why is she still on the faculty of SUNY??? This was truly tragic, and the fact that she continues in practice with the ability to kill another child is terrifying.