Diabetes Mellitus (I-01)


A 18-year-old male patient with type I diabetes mellitus (IDDM) feels nauseated and drowsy and has been vomiting for a few hours.  Clinical exam shows mild signs of dehydration and low blood pressure. You request lab tests and the results show the following significative results: 

Blood glucose:                350 mg/dL (Reference Range: 70-110 mg/dL)

Hemoglobin A:               12.8 g/dL    (Reference Range: 13.5-17.5 g/dL)

Hemoglobin A1c:           10 % of total Hb (Reference Range: < 6 %)

Urine ketones:                positive

Urine glucose:                positive

Blood pH                           7.30

Pa CO2 :                             Below reference range

Serum bicarbonate:     Below reference range

Which of the following best indicates that this patient has had hyperglycemia  over a period of weeks?

 a)     Ketonemia

b)      Ketonuria

c)       Glicemia

d)     Glucosuria

e)   Blood pH

f)  Partial pressure of CO2

g)  Serum bicarbonate

h) Hemoglobin

i) Hemoglobin A1c

 

Answer

 

4 thoughts on “Diabetes Mellitus (I-01)

  1. Pre-diabetes mellitus is actually a condition in which your blood glucose levels are elevated, but not high enough to be considered diabetes. It’s a condition that comes before type 2 diabetes and is sometimes called impaired fasting glucose or impaired glucose tolerance.Pre-diabetes mellitus has become more prevalent within the U.S. affecting as many as 55 million Americans and millions more worldwide. It has already been diagnosed in millions of people, and yet millions of others still have no idea of their condition. The treatment costs of diabetes averages about $174 billion each year.;

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