Author Question: Identify any abnormal laboratory values measured upon his admission. Explain how they may be related ... (Read 32 times)

urbanoutfitters · **on:** Aug 21, 2018

Identify any abnormal laboratory values measured upon his admission. Explain how they may be related to his newly diagnosed DM.

What will be an ideal response?

Question 2

Assess Matias's height and weight. Calculate his BMI.

What will be an ideal response?

annierak · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

HbA1c = 10.2 (high): Due to a chronic state of hyperglycemia. The more glucose in the blood, the more glucose that is glycated to the protein hemoglobin. HbA1c represents the average blood glucose over a period of about 3 months.
Glucose = 550 mg/dL (high): Hyperglycemia due to lack of insulin.
CO2 (high): Due to DKA; an indirect measure of acidity.
Blood and urinary pH (low): metabolic acidosis due to elevated ketone levels
Osmolality (high): Due to dehydration and hyperglycemia.
Phosphate (low): Electrolyte imbalance associated with dehydration or with kidney function.
Sodium (low): Due to dehydration and an electrolyte imbalance from DKA.
Triglycerides (high): Altered fat metabolism due to type 1 diabetes.
Cholesterol and LDL (high): Abnormal lipid profile.
HDL (low): Abnormal lipid profile
Ketones/protein/glucose in urine: Due to kidney's inability to prevent large molecules from spilling over into the urine. Due to hyperglycemia from type 1 diabetes; >180 mg/dL blood glucose values allow these to spill into the urine, which is abnormal.
Low c-peptide: Confirms that pancreas is not producing adequate amounts of insulin.
Antibodies ICA, IAA, GADA: Confirm autoimmune attack on beta cells consistent with T1DM.

Answer to Question 2

Height: 5' 11 (71 in.)
Weight: 165 lbs. / 2.2 = 75 kg
BMI: 703 x 165 lbs. / 71 / 71 = 23 (WNL)