Question of the Week # 265

265 )  A 52 year old woman presents to your office with complaints of increased thirst and increased urinary frequency. Her other medical problems include Hypertension and Dyslipidemia. Blood pressure has been under control on enalapril. Her family history is significant for diabetes mellitus and Hypertension.  Physical examination reveals an obese woman in no apparent distress. Blood pressure is at 135/80 mm Hg. Velvety thickened skin is noted in bilateral axillae. Which of the following results will establish the diagnosis that could explain the symptoms and physical examination findings in this patient?

A) Random plasma glucose > 180mg%

B) Hemoglobin A1c > 6.5%

C) Fasting Blood Sugar > 110 mg%

D)  Oral Glucose Tolerance Test  , plasma glucose ≥120 mg% at 2 hours

E)  Urine glucose > 300 mg%

6 Responses

  1. b

  2. D) Oral Glucose Tolerance Test , plasma glucose ≥120 mg% at 2 hours

  3. B) Hemoglobin A1c > 6.5%
    HBA1C is enough to diagnose DM now

  4. a

  5. B:)
    Diagnosis is made with one of the following:
    Two fasting glucose >= 126
    one random glucose >= 200 with symptoms
    Abnormal OGTT – 2h >=200
    HbA1C >6.5 %

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