Author Question: What are the expected lab results for someone with pre-diabetes? ... (Read 66 times)

CharlieWard · **on:** Aug 19, 2018

What are the expected lab results for someone with pre-diabetes?

Question 2

Mr. Lew was transported to the emergency room (ER) by emergency transport. City police officers called an ambulance after finding Mr. Lew lying in an alley with apparent unconsciousness. The emergency medical team started an intravenous (IV), and upon arriving at the ER, Mr. Lew had regained consciousness but is now unconscious again. Physical data collected included the following:

Physical appearance is unkempt and dirty.

Odor suggests consumption of alcohol is likely.

T 96, P 124, R 36, B/P 90/40

Very emaciated appearance

Legs and arms very dry and flaky

Mottled purplish areas to lower extremities

Edema 3+ in ankles and lower legs

Abdomen tight and distended

Facial color and nail beds pale

No response to painful or verbal stimuli

After physician examination, Mr. Lew was admitted to the hospital with malnutrition, R/O pancreatitis, and cirrhosis of the liver due to ETOH abuse.

Of the goals identified, which is the highest in priority?

pikon · **Reply #1 on:** Aug 19, 2018

Answer to Question 1

Pre-diabetes is usually detected during diabetes screenings. A fasting glucose between 100 and 125 mg/dl, an A1C of 5.7-6.4, or an OGTT (oral glucose tolerance test) 2-hour blood glucose of 140-199 mg/dl can indicate the presence of pre-diabetes.

Answer to Question 2

Normal laboratory values are the highest priority. In his present condition, it is of utmost need to stabilize his body's fluid and electrolyte balance.