Like many patients managing the “silent diseases” of diabetes and hypertension with multiple drug regimens, she had struggled for years to take her medicines correctly. By the time she made it to my urgent care clinic, however, what had previously been just deviations from normal on lab values had become far more serious. She was thirsty, urinating all the time, losing weight, spilling sugar in her urine, and her fingerstick glucose was off the charts. With immediate intervention, her newly symptomatic diabetes could be controlled, but a few days more delay could have led to hospital admission, coma, even death.