What are the standard diagnostic criteria for T1DM? Which are ...

[ashley]

What are the standard diagnostic criteria for T1DM? Which are found in Rachel's medical record?
 
  What will be an ideal response?

Question 2

What factors noted in Mr. Seyer's history and physical may indicate problems with eating prior to admission?
 
  What will be an ideal response?

[mcabuhat]

Answer to Question 1

 Casual plasma glucose >200 mg/dL with sx. of polydipsia, polyuria, polyphagia, and unexplained wt. loss (casual is defined as any time of day without regard to time since last meal)
 Fasting (no caloric intake for > 8 hrs.) glucose of >126 mg/dL on at least 2 occasions
 Oral glucose tolerance test (OGTT) 2-hour sample >200 mg/dL
 Islet cell antibodies
The following were found in Rachel's medical record: serum glucose of 724 mg/dL; Symptoms of polydipsia, polyuria, polyphagia, and unexplained wt. loss; and + ICA, GADA, IAA, and IA-2A autoantibodies consistent with type 1 DM.

Answer to Question 2

 Odynophagia
 Sore throat/dry mucous membranes
 30 lb weight loss/some muscle wasting (low oral intake)
 Early satiety
 Anorexia
 Dysgeusia

[ashley]

TY

[mcabuhat]

You're welcome