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Was the test used specific for glucose? Glucose oxidase tests (Clinistix, etc.) are specific for glucose, whereas other tests (Benedict's, etc.) are not. Thus, the latter will give false positives for lactose, fructose, galactose ... DIAGNOSTIC WORKUP
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What is the free T
4
? If this is elevated, think of hyperthyroidism.
What is the plasma cortisol? If this is elevated, think of Cushing's syndrome.
What is the plasma growth hormone? If this is elevated, ... DIAGNOSTIC WORKUP
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Normal fasting glucose is <110 mg/dL, impaired fasting glucose is 111–125 mg/dL, and diabetes mellitus is defined as a fasting glucose >126 mg/dL. Several values above normal are indicated before making a diagnosis of impaired fasting glucose or diabetes.
Differential> ... Workup and Diagnosis ... Treatment
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Diabetes mellitus is the most common endocrine disorder of childhood, affecting about 2/1,000 school-age children in the U.S. The absolute or relative lack of insulin results in an abnormal metabolic state, including hyperglycemia. Children with diabetes are at risk for the... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The finding of glycosuria should prompt one to consider first the conditions that are associated with faulty regulation of the blood sugar and sugar metabolism. First and foremost on that list is diabetes mellitus. However, the differential must include many other endocrine disorders;
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... To form a list of diagnostic possibilities in a case of hyperglycemia, one needs only to think of the endocrine glands. Considering the pancreas should prompt the recall of diabetes mellitus and glucogonomas. Considering the adrenal gland would prompt the recall of Cushing
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... Nephrogenic
(see Polyuria)
Central
Gestational diabetes insipidus (vasopressinase production)
Iatrogenic
Surgery
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... Inadequate dietary preparation for glucose tolerance test
Impaired glucose tolerance
Gestational diabetes
Type 1 diabetes (B-cell destruction, usually leading to absolute insulin
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... Diabetes insipidus (also called pituitary diabetes insipidus) is a disorder of water metabolism resulting from a deficiency of circulating vasopressin (also called antidiuretic hormone [ADH]). It’s characterized by excessive fluid intake... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Diabetes mellitus (DM) is a chronic disease of absolute or relative insulin deficiency or resistance characterized by disturbances in carbohydrate, protein, and fat metabolism. A leading cause of death by disease in the United States, this syndrome is a contributing... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Acetone breath, Kussmaul’s respirations, dehydration, weak and thready pulse, nausea, vomiting, altered level of consciousness, dry mucous membranes, serum glucose level of 300 to 1,500 mg/dl
Treatment (Tx
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... Hereditary fructose intolerance is an inability to metabolize fructose. After fructose is eliminated from the diet, symptoms subside within weeks. Older children and adults with hereditary fructose intolerance have normal intelligence and apparently normal liver and... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Michael Ostapchuk and Michael B. Foster
Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both (1). There are two... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... A disorder of water metabolism, diabetes insipidus results from a deficiency of circulating vasopressin (also called antidiuretic hormone) or from renal resistance to this hormone. Pituitary diabetes insipidus is caused by deficiency of vasopressin, whereas... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... A chronic disease of absolute or relative insulin deficiency or resistance, diabetes mellitus is characterized by disturbances in carbohydrate, protein, and fat metabolism.
This condition occurs in two forms: type 1, characterized by absolute... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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The finding of glycosuria should prompt one to consider first the
conditions that are associated with faulty regulation of the blood
sugar and sugar metabolism. First and foremost on that list is diabetes
mellitus. However, the differential must include many... Pictures
... READ EXCERPTS »
...
To form a list of diagnostic possibilities in a case of hyperglycemia,
one needs only to think of the endocrine glands. Considering the pancreas
should prompt the recall of diabetes mellitus and glucagonomas. Considering
the adrenal gland would... Pictures
... READ EXCERPTS »
Type 2 diabetes doesn't strike out of the blue. Instead, a person's body undergoes a series of changes. Listen as experts explain the clues...
Diabetes is no reason to stop chasing Olympic gold. Meet Chris Jarvis, an elite Canadian rower, who continues to aggressively train despite having...
Studies show nearly 3 out of every 4 women will experience a yeast infection at least once in their life. For women with diabetes, however, the risk...
Treating nerve damage from diabetes requires a two-pronged approach: controlling blood sugar and alleviating the pain caused by peripheral...