A 37 year old man attended his GP\'s office for a routine pre-employment physica
ID: 3506256 • Letter: A
Question
A 37 year old man attended his GP's office for a routine pre-employment physical following a long period working as a bookkeeper from home. He is Caucasian and on examination appeared in relatively good health, though reported an increase in snoring which was disrupting his sleep. His BMI was 29.4 (92kg) and blood pressure was 130/85. The following biochemistry results were obtained. Plasma Urine Result 140 mmol/L 133-143 3.8 mmol/L 3.6-4.6 25 mmol/L 24-32 105 mmol/L 98-108 5.2 mmol/L 3.0-7.0 40 mmH 125 umol/L 60-120 Reference Range Result Negative Negative Reference Range Dipstick Protein Blood Albumin/Creatinine 0.010g/gExplanation / Answer
Person is diagnosed with diabetes mellitus disease.The common symptoms in diabetic patients are excessive thirst and frequent urination , particularly during night.This symptom occur because due to diabetes the blood glucose level is elevated . And glucose is excreate in the urine and water follow the glucose which cause excessive urination and dehydration .
Diabetes is a endocrine disorder and exist in two forms type-1 and type-2.
Type-1 occur due to the faure of beta cells to produce insulin and type-2occur failure of insulin to facilitate the movement of glucose into cells.
This patient is suffering with type-2 diabetes because previous blood reports shows the level of HbA1c level shows 7.3% which is hhogher than 6.5% normal value.
the dipstick glucose test is occur to check the glucose level in urine which is found to be positive in a patient. Because of the higher than normal vavalue of glucose in urine.