A woman visits her physician with a complaint of polyuria an…

A woman visits her physician with a complaint of polyuria and polydipsia. She has a family history of type 2 diabetes mellitus and is concerned that she is developing the disease. The physician notes that her previous hemoglobin A1c (Hb A1c) value was 6% (considered within healthy reference interval in the physician’s practice) with a fasting plasma glucose of 95 mg/dL. At this visit, her Hb A1c value is 8.5%. Why would the physician be correct to order an oral glucose tolerance test (OGTT) for this individual?

A 16 year old female with type I diabetes mellitus attended…

A 16 year old female with type I diabetes mellitus attended clinic. She had a history of poor glycemic control. On examination she had hepatomegaly. The following results were obtained for plasma glucose, liver function tests, and lipids: Test Patient Reference Range Glucose 594 mg/dL   Total bilirubin 0.70 mg/dL 0-1.0 mg/dL Conjugated bilirubin 0.40 mg/dL 0-0.5 mg/dL Alkaline phosphatase Normal   GGT Elevated   AST 188 IU/L 5-30 U/L ALT 380 IU/L 0-37 U/L Total Cholesterol 306 mg/dL   Triglycerides 1177 mg/dL   HDL 4 mg/dL   1. What results are abnormal? (1 point) 2. Calculate indirect/unconjugated bilirubin? (1 point) 3. Report the LDL (in whole numbers) for this patient. (1 point) 4. What would you expect the result of the Hemoglobin A1c to be? (Increased, decreased, or normal) (1 point)