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ASCP MLT(ASCP) ASCP-MLT Question # 147 Topic 15 Discussion

ASCP-MLT Exam Topic 15 Question 147 Discussion:
Question #: 147
Topic #: 15

A casual blood glucose >/= 200 mg/dL on a patient with symptoms and an A1C >/= 6.5% meet diagnostic criteria for diabetes.

Chemistry

A physician is evaluating a 45-year-old obese male for diabetes and orders a plasma glucose at time of evaluation and a HbA1C one week later. The patient has a family history of diabetes and currently exhibits symptoms of diabetes.

What would be the best course of action if these are the blood glucose results?

Casual Blood Glucose: 208 mg/dL

HbA1C one week later: 7.2%


A.

Order insulin levels; if decreased, diagnose diabetes


B.

Patient meets criteria for diagnosis of diabetes


C.

Order a C-peptide for diagnosis


D.

The patient is at risk for diabetes (pre-diabetic); monitor for diabetes with yearly FPG levels


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