Oral glucose tolerance test (OGTT) commonly conisits of two measurements of glucose levels after an oral glucose load is a series of glucose measurements for patients who routinely visit general practitioner for a physical exam is routinely applied to screen for a type 2 diabetes in general population ○ Is based on an one-time measurement of fasting glucose levels in the morning ○ Is a follow-up single measurement of glucose levels after full meal
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- In addition to symptoms of diabetes, which of the following correctly identifies criteria used to diagnose diabetes (select all that apply) O Random plasma glucose concentration > 200 mg/dL. O Fasting plasma glucose > 100 mg/dL. O 2-Hour glucose > 180 mg/dL during a 2 hour post prandial glucose test O Hemoglobin A1C > 6.5%The ADA currently only recommends the Oral glucose tolerance test for the diagnosis of?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
- A 30 year old woman presents 2 points with lethargy, fatigue and increasing weight over past few months (BMI 32Kg/m2). Which of the following is the best next step in management? * Recommend a very-low-calorie diet Measure triceps skinfold thickness Prescribe orlistat Encourage heavy exercise. Check thyroid function testJesse comes to the medical office for pre-lunch check blood glucose of 210 MG/DL. lunch = 59 g, ISF = 1: 60 target of 120 mg/dL I:C =1:30. how much insulin should you administer using carb coverage and correction dose using ISF?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 it
- A 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) (A) What will be your clinical diagnosis? (B) How is the execution and the interpretation of Modified Glucose Tolerance Test? (C) What are the Biomedical reasons for the modification in (B) Above?A 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?A 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) 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?
- Forms of Cardiovascular Disease28 Metabolic syndrome is a term used to link coronary artery disease, hyptertension, type 2 diabetes and upper body obesity to insulin resistance and hyperinsulinemia. True FalseA 12-year-old boy is brought to the physician because of increased urination and progressive fatigue during the past two weeks. Vital signs are within normal limits except for a pulse of 120/min. Physical examination shows dry skin and mucous membranes. His fasting serum glucose concentration is 350 mg/dL. The patient improves after insulin treatment. Which of the following best describes the effect of insulin binding to the insulin receptor (IR) on the surface of hepatocytes in this patient? a. Activation of serine/threonine kinase activity of the IR b. Down regulation of phosphoenolpyruvate carboxykinase c. Inactivation of ras d. Inhibition of glucose-transporter-4 (GLUT-4) translocation to the cell membrane e. Inhibition of phosphatidylinositol-3-kinase signaling pathwayA student with type 1 diabetes tells the nurse they are feeling light-headed. The student's blood glucose is 3.0 mmol/L. Using the 15-15 rule, the nurse should give: Question 101 options: 15 g of carbohydrate and 15 g of protein 15 ounces of juice and re-test the blood sugar in 15 minutes 15 ml of juice and give another 15 ml in 15 minutes 15 g of carbohydrate and re-test the blood sugar in 15 minutes