History and physical examination are most important tools for diagnosing diabetes. But to confirm diagnosis one should have following laboratory tests.
History and physical examination are most important tools for diagnosing diabetes. But to confirm diagnosis one should have following laboratory tests.
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History and physical examination are most important tools for diagnosing diabetes. But to confirm diagnosis one should have following laboratory tests.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPTX, PDF, TXT or read online from Scribd
diabetes Mellitus, however to confirm diagnosis one should have following laboratory tests. !
HgbA1c blood test - an average blood sugar measure
over about 3 months.
Fructosamine blood test - an average blood sugar
measure over about 2 weeks
rine Sample for Sugar and Ketones
You may have your urine analysis for sugar or ketones
which are produced by breakdown of fat and muscle cells to diagnose diabetes but you should keep in mind that if you are having positive urine test for sugar then it is not necessary that you are suffering from diabetes because there are other conditions as well which also cause sugar to appear in urine. !HE FAS! BLOOD L OSE (S AR) !ES! For diagnosing Diabetes Mellitus one must have this test because it is best, easy and comfortable to perform. You should have overnight fast (at-least 8 hours) before performing this test. f fasting blood glucose is below 100mg/dl, then you don't have diabetes. Between 100mg/dl to 125mg/dl is called a Pre-diabetes or mpaired fasting glucose condition. f fasting blood glucose is above 126mg/dl on more than two occasions then you are suffering from diabetes. RADOM (O-FAS! ) BLOOD L OSE !ES!
t is also a good test for diagnosing diabetes. n this test we
take sample of blood shortly after taking a meal and then check glucose level in blood. f this level is above 200mg/dl, then there are much chances that you are suffering from diabetes. But diagnosis should be confirmed the very next day by fasting blood glucose or by glucose tolerance test ORAL L OSE !OLERAE !ES! (O!!)
!hough this test is not commonly used these days but
it is still a gold standard for diagnosing diabetes. For diagnosing gestational diabetes this is best test. nstructions for O!! !his is test for a person who is in good health and have no other illness. Person should be normally active and not bed ridden. Person is not taking anti diabetic drugs or any drug which alters blood sugar level. Before test, person should eat high carbohydrate diet for three days. o alcoholic beverages. On test day one should not smoke or take coffee. !he beta cells of the pancreas are where insulin is produced. Diabetes occurs as a result of inadequate production or inbility of body cells to use insulin and metbolize glucose. !
!he cause of type 1 diabetes is still not fully understood. Some
theorize that type 1 diabetes is generally a virally triggered autoimmune response in which the immune system's attack on virus infected cells is also directed against the beta cells in the pancreas. !he autoimmune attack may be triggered by reaction to an infection. n type 1, pancreatic beta cells in the slets of Langerhans are destroyed or damaged sufficiently to effectively abolish endogenous insulin production. !his etiology distinguishes type 1's origin from type 2. t should also be noted that the use of insulin in treating a patient does ''not'' mean that patient has type 1 diabetes; the type of diabetes a patient has is determined only by the cause³fundamentally by whether the patient is insulin resistant (type 2) or insulin deficient without insulin resistance (type 1). !his vulnerability is not shared by everyone, for not everyone infected by the suspected organisms develops type 1 diabetes. !his has suggested presence of a genetic vulnerability and there is indeed an observed inherited tendency to develop type 1. t has been traced to particular HLA genotypes, though the connection between them and the triggering of an auto-immune reaction is still poorly understood. !
nsulin resistant means that body cells do not respond
appropriately insulin when is present. nlike type 1 diabetes mellitus, insulin resistance is generally "post- receptor", meaning it is a problem with the cells that respond to insulin rather than a problem with the production of insulin. !his is a more complex problem than type 1, but is sometimes easier to treat, especially in the early years when is insulin often still being produced internally. !ype 2 may go unnoticed for years before diagnosis, since symptoms are typically milder and can be sporadic. However, severe complications can result from improperly managed type 2 diabetes , including renal failure, erectile dysfunction, blindness, slow healing wounds (including surgical incisions), and arterial disease, including coronary artery diseases. !he onset of type 2 has been most common in middle age and later life, although it is being more frequently seen in adolescents and young adults due to an increase in child obesity and inactivity. A type of diabetes called MODY is increasingly seen in adolescents, but this is classified as diabetes due to a specific cause and not as type 2 diabetes.
Ö nsulin is a peptide hormone composed of 51 amino acids and has a molecular weight of 5808 Da. t is produced in the islets of Langerhans in the pancreas. !he name comes from the Latin insula for "island". nsulin's structure varies slightly between species of animal. nsulin from animal sources differs somewhat in "strength" (in carbohydrate metabolism control effects) in humans because of those variations. Porcine insulin is especially close to the human versionO Ö nsulin is a hormone that is central to regulating carbohydrate and fat metabolism in the body. nsulin causes cells in the liver, muscle, and fat tissue to take up glucose from the blood, storing it as glycogen in the liver and muscle. Ö shen control of insulin levels fails, diabetes mellitus will result. As a consequence, insulin is used medically to treat some forms of diabetes mellitus. Patients with !ype 1 diabetes mellitus depend on external insulin (most commonly injected subcutaneously) for their survival because the hormone is no longer produced internally. Patients with !ype 2 diabetes mellitus are often insulin resistant, and because of such resistance, may suffer from a relative insulin deficiency. Some patients with !ype 2 diabetes may eventually require insulin if other medications fail to control blood glucose levels adequately, though this is somewhat uncommon.