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  #1  
Old 08-09-2011
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Default type 2 diabetes

You are evaluating an obese 10-year-old for diabetes. He has a strong family history of type 2 diabetes, and his mother is concerned about recent symptoms of polyuria and polydipsia. Which of the following findings is diagnostic for diabetes mellitus?
a. Fasting plasma glucose of 135 mg/dl
b. Random plasma glucose of 170 mg/dl
c. 2-hr glucose during glucose tolerance test of 165 mg/dl
d. Acanthosis nigricans on the neck
e. Symptoms alone are enough to make the diagnosis
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  #2  
Old 08-09-2011
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I'm guessing A...
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  #3  
Old 08-09-2011
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Quote:
Originally Posted by usmleman2020 View Post
You are evaluating an obese 10-year-old for diabetes. He has a strong family history of type 2 diabetes, and his mother is concerned about recent symptoms of polyuria and polydipsia. Which of the following findings is diagnostic for diabetes mellitus?
a. Fasting plasma glucose of 135 mg/dl
b. Random plasma glucose of 170 mg/dl
c. 2-hr glucose during glucose tolerance test of 165 mg/dl
d. Acanthosis nigricans on the neck
e. Symptoms alone are enough to make the diagnosis
glucose tolerence test
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  #4  
Old 08-09-2011
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I will go for C)glucose tolerance test
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  #5  
Old 08-09-2011
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Well, Fasting glucose , only once is not diagnostic, you have to repeat it...



GTT, at least in Brazil, is not commonly ordered for children, because it might be a type 1 and this can cause a severe descompensation, although he has strongly factors for Type 2...

I'd say B or C

Last edited by jriella; 08-10-2011 at 09:10 AM.
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  #6  
Old 08-10-2011
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fasting glucose.
isnt glucose tolerance for gestational diabetes?
i'm confused now!
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Old 08-11-2011
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my answer is A.fastiing blood sugar levels greater than 126mg/dl is diagnostic of diabetes
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Old 08-12-2011
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i think it is c
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Old 08-12-2011
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usmleman, please give us the answer!
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The above post was thanked by:
usluipek (08-13-2011)



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