The glucose tolerance test is prescribed under which of the following patient scenarios? Fasting blood sugar greater than 7.8 mmol/L and patient presents with the signs and symptoms of hyperglycemia. Fasting blood sugar greater than 7.8 mmol/L Fasting blood sugar increased and patient asymptomatic. Fasting blood sugar less than 7.8 mmol/L and patient presents with the signs and symptoms of hyperglycemia
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- The ADA currently only recommends the Oral glucose tolerance test for the diagnosis of?A laboratory result Shows a glucose level 10.1mg/dl ( reference range 3 - 6.2mg/dl) BP of 140/100 mmHg ( Reference 120/80 mmHg) Serum insulin 0.3 ( 0.7-3.5) BMI is 34kg/m sq Other findings seen was porous bone, muscle weakness and stretch marks, high appetite hyperpigmentation of the skin. Moon face, truncal abdomen.etc a. As a Medical laboratory scientist, use the laboratory results ( hint explain each findings) and the other findings to diagnose the disorder. b. What 2 causes of itA 30yrs old pregnant woman who was distressed was presented to the Antenatal Clinic with an unexplained weight loss, dehydrated secondary to polyuria, nausea, vomiting, hypotension and tachycardia. You further requested for Modified Oral Glucose Tolerance Test. The OGTT results came as follows;After overnight fast, FBS- 3.9 mmol/L Reference (</= 5.3mmol/L)After an hour of oral glucose RBS- 11mmol/L Reference (</= 10.0mmol/L)After 2hours RBS- 9.6mmol/L Reference (</= 8.6mmol/L)After 3hours 8.8mmol/L Reference (</= 7.8 mmol/L) What will be your clinical diagnosis? How is the execution and the interpretation of Modified Glucose Tolerance Test? What are the Biomedical reasons for the modification in (B) Above? Outline the procedure for Modified OGTT What will be the treatment option for the patient? What other laboratory test apart from FBS/RBS can you request to monitor treatment?
- Which of the following are priorities in the acute management of DKA and HHNKS? Question 74 options: a) Long-acting IV insulin to correct glucose over a longer period of time and to prevent cerebral edema, neurovitals every hour to monitor neurological status b) Fluid rehydration, correction of hyperglycemia, monitoring and correcting electrolytes c) Mannitol or 3% saline to prevent cerebral edema as part of fluid rehydration, sodium bicarbonate for metabolic acidosis, correction of hypokalemia d) Gradual fluid rehydration, aggressive correction of hyperglycemia, and correcting sodium levelsThe nurse is teaching a diabetic client to self-administer Humulin insulin, supplied in a vial labeled 100 units/mL. The provider has ordered 12 units of Humulin insulin to be taken each morning. How many milliliters of insulin would the client prepare for one dose?Match the sample to the patient. Establish if the patients are diabetics. Do you think the patients have good or poor glycaemic control? Are there any other signs of complications. Patient 1. A 54 year-old male with a history of Type 1 Diabetes requiring insulin administered by pumpwith good A1c levels and a long history of compliance. Patient 2. A 24-year old sexually active male attending an insurance physical with no symptoms and noknown pre-existing conditions. Patient 3. A 22-year old female patient with a history of Type 1 Diabetes, a tendency to forget to takeher insulin and a history of hospitalisations due to diabetic-associated complications. Patient 4. A 24-year old sexually active female with a recent history of amenorrhea complaining ofnausea and increased irritability
- If 85% of diabetic patients are correctly identified by a urine test for glucose, but 25% of non-diabetic patients are false-positives by this test, then the urine test for glucose has: a sensitivity of 85%, and a specificity of 75% a sensitivity of 25%, and a specificity of 85% a sensitivity of 75%, and a specificity of 85% a sensitivity of 15%, and a specificity of 25% a sensitivity of 75%, and a specificity of 15%Compared to the above urine test, a blood test for glucose is more accurate in avoiding both false positive and false negative results in identifying diabetic patients. If a blood test for glucose correctly identifies 90% of diabetic patients, but gives false-positive results for 12% of non-diabetic patients, then: the blood glucose test has improved sensitivity, but reduced specificity (compared to the urine test) the blood glucose test has improved neither sensitivity nor specificity (compared to the urine test) the blood glucose test has reduced both sensitivity and specificity (compared to the urine test) the blood glucose test has improved both sensitivity and specificity (compared to the urine test) the blood glucose test has improved specificity, but reduced sensitivity (compared to the urine test)Metformin is contraindicated in all of the following situations, except:A. Increased BMIB. Tendency to develop lactic acidosisC. Diarrhea and other gastrointestinal disturbancesD. PregnancyE. Breast feeding
- Please, choose an appropriate therapy for treatment of patients with type II diabetes and obesity: A. Actrapid and protaphaneB. Metformin and glimepirideC. Glibenclamide and protaphaneD. Glibenclamide and glibometE. Gliclazide and actrapidCompared to the above urine test, if a blood test for glucose correctly identifies 95% of diabetic patients, but gives false-positive results for 10% of non-diabetic patients, then: the blood glucose test has improved sensitivity, but reduced specificity (compared to the urine test) the blood glucose test has improved both sensitivity and specificity (compared to the urine test) the blood glucose test has improved specificity, but reduced sensitivity (compared to the urine test) the blood glucose test has reduced both sensitivity and specificity (compared to the urine test) the blood glucose test has improved neither sensitivity nor specificity (compared to the urine test)An 8-year-old girl was down with diabetes mellitus during the pneumonia. Diabetes mellitus is compensated by introduction of insulin Actrapid НМ 4 units in the morning, 6 units at dinner time, 4 units before supper, 2 units at о 11.00p.m. After two weeks of treatment, the girl started suffering from hypoglycaemia. A daily dosage of insulin decreased to 8 units. There is retained normoglycemia, glycosuria. What is the mitigated need for insulin associated with?