Patient B is a 28 year old female with a BMI of 30. The patient complains of thirst, frequent urination and lethargy. The patient’s urine volume is 3.8 litres in 24 hours. The patient’s urine is very clear, with a slight tint of yellow, as there is also no odor detected from it. Her urine has a pH level of 6.0 and extremely high levels of glucose. The very high levels of glucose in the urine can indicate that the plasma levels are well above normal, as in diabetes. The patient has no ketones, protein or bilirubin in their urine as well as no blood. The specific gravity of the urine is 1.025. It has been concluded that the disorder/disease this patient is diagnosed with is diabetes. Some common symptoms of diabetes are, frequent urination,
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The urinalysis results also shows that the patient has very high levels of glucose in her urine, which as stated before is an indication that the patient has diabetes. Also, this patient has a BMI of …show more content…
When there is excess glucose present in the blood, the kidneys react by flushing it out of the blood and into the urine. This results in more urine production and the need to urinate more frequently. This is why the patient urinates very frequently and produces a very large amount of 3.8 litres of urine in 24 hours. The next step this patient should take before seeking treatment is she should do more diagnostics to determine if she definitely has diabetes and if so, what type of diabetes (type 1 or type 2). One test that can be done is the Glycated hemoglobin (A1C) test. This is a blood test indicates the patients average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin. The higher the blood sugar levels, the more hemoglobin the patient has with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates that the patient has diabetes. An A1C between 5.7 and 6.4 percent indicates pre-diabetes. A level below 5.7 percent is considered normal. Other tests the patient can undergo are, a blood sugar test, a fasting blood sugar test, and an oral glucose tolerance
The urinalysis results also shows that the patient has very high levels of glucose in her urine, which as stated before is an indication that the patient has diabetes. Also, this patient has a BMI of …show more content…
When there is excess glucose present in the blood, the kidneys react by flushing it out of the blood and into the urine. This results in more urine production and the need to urinate more frequently. This is why the patient urinates very frequently and produces a very large amount of 3.8 litres of urine in 24 hours. The next step this patient should take before seeking treatment is she should do more diagnostics to determine if she definitely has diabetes and if so, what type of diabetes (type 1 or type 2). One test that can be done is the Glycated hemoglobin (A1C) test. This is a blood test indicates the patients average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin. The higher the blood sugar levels, the more hemoglobin the patient has with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates that the patient has diabetes. An A1C between 5.7 and 6.4 percent indicates pre-diabetes. A level below 5.7 percent is considered normal. Other tests the patient can undergo are, a blood sugar test, a fasting blood sugar test, and an oral glucose tolerance