PART 1: Questions
1. Describe the following serum glucose tests used to help diagnose diabetes mellitus: fasting, postprandial, and oral glucose tolerance test.
Diabetes Mellitus is an endocrine disorder characterised by the body’s inability to produce insulin or the ineffective use of insulin present in the body. The major classifications include type 1, type 2, and gestational diabetes (Day, Paul, & Williams, 2016). While early signs and symptoms of diabetes mellitus may be present in individuals, the healthcare provider must perform several diagnostic tests in order to properly diagnose the disease and come up with a plan of treatment. There are a variety of serum glucose tests available to help diagnose prediabetes and diabetes
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Typically, blood glucose values rise when digesting a meal. In non-diabetic individuals, the body is able rebalance these blood glucose levels within two hours to achieve homeostasis. If the test results in a blood glucose levels of 11.1 mmol/L or greater, a diagnosis of diabetes is common (Day et al., 2016).
Yet another diagnostic test for prediabetes and diabetes is an oral glucose tolerance test (OGTT). However, OGTT’s are most commonly performed to check for gestational diabetes, which occurs during pregnancy (Day et al., 2016). Therefore it is recommended that pregnant women should be screened at 24-28 weeks of their pregnancy (Canadian Diabetes Association, 2015). The OGTT test is conducted by drinking a concentrated solution of glucose. Similarly to the postprandial test, blood glucose levels are tested to determine how quickly the body was able to process the glucose as energy. If the test results in a blood glucose levels greater than 11.0 mmol/L after 2 hours, it indicates a diagnosis of diabetes (Day et al., 2016).
2. Explain what a hemoglobin A1C lab test tells the health care team.
“Glycosylated hemoglobin (referred to as HgbA1c or A1cA hemoglobin A1C) is a blood test that reflects average blood glucose levels over a period of approximately 2 to 3 months” (Day et al., 2016, p. 1309). This is beneficial as it provides the health care team with bigger picture and reflects long term blood glucose levels in patients. Sugar is an adhesive ingredient and
This test indicates to the doctor whether or not the body is processing glucose correctly. Diabetes is diagnosed with this test if after two hours the blood glucose level is greater than or equal to 200 mg. There is also a Random Plasma Glucose Test, which is a blood test that can be done at any point in the day when experiencing diabetic symptoms (American Diabetes Association, 2013).
A simple blood test to check blood glucose levels can show if you have any type of diabetes.
There are four ways to get tested for the disease. The first test someone can do is called the fasting blood glucose level. This is fasting for twelve hours before getting glucose levels tested. The second test is the A1C test. This test is used for diagnosing pre-diabetes. In this test, levels are diagnosed by percentages as normal, pre-diabetes, and diabetes. The next test is the oral glucose tolerance test. Lastly, the random non-fasting glucose test is a less trusted test. This test takes symptoms into consideration along with needing to be proved with a fasting test. (Type)
The problem with this long-term condition is that usually it is diagnosed at a very late stage, due to which it becomes impossible to cure the patient. Fasting Plasma Glucose Test (FGT) and the Oral Glucose Tolerance Test (OGTT) are the two common tests used for testing the diabetes and pre-diabetes. These tests are time consuming, tough for the subjects and neither easy to perform nor give accurate results; therefore many of the patients are not diagnosed at the early stage.
While this makes the issue of pre-diabetic screening for individuals aged 20 years and over even more relevant and urgent, certain issues must be considered in the spectre of public health. Current suggestions have considered that the screening of young adults for pre-diabetes needs to be more advanced. Data clearly shows that 30 percent of individuals with undiagnosed type II diabetes have a nondiabetic fasting glucose but still are at high risk of cardiovascular disease (The National Diabetes Services Scheme (NDSS), 2008). Therefore, this suggests that oral glucose tolerance testing (OGTT) should be part of mandatory screenings (Alberti & Yach, 2003). Certified sources have reviewed this suggestion, such as the World Health Organisation, who recommended its use on adults, specifically for those who suffer from nondiabetic fasting glucose. Moreover, recommendations for future annual screening for pre-diabetes for individuals 20 years and over will result to more effective and efficient management and prevention of the adverse consequences of the disease. These include screening individuals with only increased blood pressure. Individuals who not meet
If you are eligible for Medicare, then you have the right to know, upon request and prior to receiving treatment, the health care facility accepts the Medicare assignment rate as payment in full. The Diabetes Education Program at Broward Health Medical Center can teach you how to live a healthier and more productive life. In order to determine whether or not you have pre-diabetes or diabetes, a physician conducts a Fasting Plasma Glucose (FPG) Test or an Oral Glucose Tolerance Test (OGTT). Either test can be used to diagnose pre-diabetes or diabetes. The American Diabetes Association recommends the FPG because it is easier, faster and less expensive to perform. With the FPG test, a fasting blood glucose level between 100 and 125 mg/dl signals pre-diabetes. A person with a fasting blood glucose level of 126 mg/dl or higher has
Diabetes mellitus is a disease characterized by the body’s inability to metabolize glucose. Glucose is the body’s main source of fuel for energy. Too much or too little of it can cause some serious complications in the body. Normal glucose level in the blood should be between 70-120mg/dl. An increased level of more than 250 mg/dl is called hyperglycemia. Signs and symptoms “include the three ‘polys’: polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger)” (Rosdahl, 2012). Other signs and symptoms may include
The authors thoroughly discussion the reason for each laboratory test. In additional to the threaded discussion there are many signs and symptoms, many of which go unnoticed until the disease is in the late stages. Mr. Bobo is a diabetic which seems uncontrolled so focusing on education is of importance. Education has been identified as a significant factor in the effective control of blood glucose levels. Education is import to emphasize to the patient the importance of close monitoring and management as diabetes can become a chronic disease with multiple health issues and a poor quality of life. Mr. Bobo will need to know the importance of making changes to their lifestyle in regards to nutrition, diet, and weight control. Casto, Cherry, Ellerbee, Gatlin, and Young thoroughly discussion long term complications such as eye complications, nephropathy, neuropathy, and cardiovascular disease. Complications from diabetes can be quite serious to life threatening, including kidney damage, nerve damage, which cause numbness, pain or tingling sensations, amputation due to lack of circulation or secondary infection, and retina damage, an incurable condition that can lead to a total loss of
There is an unresolved debate on whether routine HbA1c’s are not cost effective and the model should remain as women receiving a polycose test at 24-28 weeks. An HbA1c is a blood test that requires no consumption of concentrated glucose drinks or fasting. It measures the amount of blood glucose over the prior 120 days (Sevket, Sevket, Ozel, Dansuk & Kelekci, 2014). It has however been concluded that HbA1c’s are not an alternative for diagnosis of GDM and are not useful in reduces the need for further diagnostic testing (Sevket, Sevket, Ozel, Dansuk & Kelekci, 2014). Therefore not all guidelines are updated to follow these recommendations supported by the MOH (2014) REFERENCE and REFERENCE. The algothrithm for ADHB (2013) and WDHB (2012) follow the ‘risk screening’ approach where only women with risk factors are offered an HbA1c, all other women are offered the routine polycose at 24-28 weeks. Victorias midwife followed these guidelines. The screening and diagnosis of GDM also detects unrecognised type two diabetes and rarely type one (Pairman et al., 2015) because the pathophysiology of type 2 diabetes mellitus includes insulin resistance, similar to GDM. Thus pregnancy provides a window of opportunity to identify women at risk of developing type 2 diabetes or who may be in the prediabetic state (Lacroix et al, 2013; Chasam-Taber, 2015). Prehaps if Victoria was offered an HbA1c at booking her GDM might have been recognised earlier.
Plasma glucose ≥ 200 mg/dl ( 11.1 mmol/l) an 2 hour post-prandial during an oral glucose tolerance test of 200mg/dL or more Symptoms (such as polyuria, polydipsia, polyphagia, unexplained weight loss, weakness & fatigue)
Diabetes mellitus is an autoimmune disease and affects the body’s metabolism of carbohydrates. There are varying types of diabetes but patients are predominantly diagnosed with type 1 or 2. Type 1 is an insulin dependent diabetes mellitus and type 2 is a non-insulin dependent diabetes mellitus. Patients are tested for diabetes by undergoing blood sugar tests or urinalysis. Typical symptoms are increased thirst, frequent urination, slowed healing, weight loss, excessive hunger, blurred vision and integument issues. Though this condition varies in severity, most patients can be treated with medications, by balancing their diets, and monitoring their blood sugar levels.
Diabetes can be detected and monitored with the utilization of an A1C test. This test shows an individual’s average blood glucose levels from the past two or three months. Patients diagnosed with diabetes are required to take this test regularly to ensure that their blood glucose levels have been maintained within their intended targets. Patients susceptible to diabetes may also utilize this test to detect the presence of diabetes or prediabetes. Prediabetes is the condition in which blood sugar levels are high, but not high enough to be classified as Type 2 diabetes. The normal range of blood glucose levels when fasting is about 100, between 70 and 99 before meals and under 140 after meals. When blood sugar levels fall outside of these ranges, an individual
Diabetes mellitus diagnosis is performed by a blood test. The test usually reveals high blood glucose. Steps in diagnosis include, if patient presents with symptoms of diabetes of a blood test for blood glucose is ordered. In most cases of type 2 diabetes mellitus there may be little or no symptoms. This means high blood sugar may be detected on a routine blood tests for example one taken before a surgery. It may be important to make the diagnosis early since uncontrolled high blood glucose for a long duration leads to long term damage to blood vessels and other complications. Diabetes is diagnosed on the basis of a single abnormal plasma glucose reading. When taken randomly at any time of the day the levels are significant if they are above 111 moll/L and when taken after an overnight fast, the numbers of significant if above 7 mmol/L (126 mg/dL). (news medical.net 2014.)
Diabetes mellitus is a group of metabolic diseases. There are different kinds of diabetes mellitus, but an abnormal blood sugar level over an extended time always can be detected from patients who have this disease. Type one diabetes mellitus also known as insulin-dependent diabetes, patients with this type of diabetes have pancreatic beta cells destruction causing absolute lack of insulin with a tendency to ketoacidosis. It can occur at any age, but more commonly occurs in young people. Patients with acute onset of metabolic disorders symptoms need insulin injections to survive. This type of diabetes including immune-mediated and idiopathic two subtypes. Immune-mediated diabetes often has one or more autoantibodies present, for example, islet cell antibodies (ICA), insulin autoantibodies (IAA) and glutamic acid decarboxylase 65 (GAD65) antibodies.
People who suffer from diabetes have high levels of blood glucose (hyperglycemia) caused by the way the body produces insulin, the way insulin works in the body, or both. After food ingested it is broken down into protein, fats and carbohydrates or glucose. Glucose is used to fuel the cells of the body but the body needs insulin to enable the cells of the body to use glucose as energy. People with diabetes mellitus do not produce enough insulin for the body or the insulin that is produced is ineffective in its role. While diabetes was classified by the requirement of insulin therapy in the past it is now classified by the