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Dace Trence, M.D.

Metabolism, Endocrinology and Nutrition

Professor of Medicine
Director, Metabolism, Endocrinology and Nutrition Fellowship Program


Improving health care delivery to patients with diabetes through improved skills of medical residents, nurse practioners, use of electronic and encounter medical record. Osteoporosis and diabetes mellitus.



UWMC – Endocrine Clinic
UWMC – Diabetes Care Center


UWMC- Diabetes Care Center
VA Puget Sound


Trence DL and Hirsch IR:  Hyperglycemic crises in type 2 diabetes mellitus.  Endocrinol Metab Clin North Am 30:817-831, 2001.

Trence DL:  Peripheral neuropathy in diabetes:  Is it diabetic neuropathy?  Clin Diab 20:101-102, 2002.

Mechanick, JI, Bloomgarden ZT, Camacho PM, Cobin R, Garber AJ, Garber JR, Gharib H,
Petak SM, Rodbard HW, Trence DL. American Association of Clinical Endocrinologists Protocol for Standardized Production of Clinical practice guidelines – 2010 Update. Endocr Pract. 2010; 2:270-83.

Obika M, Trence DL. Diabetes Care in US and in Japan. Endocr Pract. 2010 Mar 29:1-13. Odegard PS, Petilla M, Beach JR, Janci M, Trence DL. Use of Over the Counter Supplements by Patients with Diabetes Mellitus; Self-reported Use in an Academic Diabetes Care Clinic. Diabetes Educ. 2011;37:419-25. Epub 2011 Mar 31.

Trence DL. Hyperglycemia. In: 2nd edition of the Art and Science of Diabetes Education Self-Management: A Desk Reference for Healthcare Professionals. Eds: Mensing, C.  American Association of Diabetes Educators/Chicago. p 577-602, 2011

Trence DL, Pommer W. Management of the Diabetic Patient with Chronic Kidney Disease. In: Comprehensive Clinical Nephrology, 4th edition, Eds: Floege, Johnson, Feehally.  Mosby, Inc/ Elsevier, Philadelphia p 385-391, 2011