MEDizzy - A 53-year-old woman presented with symptoms of increased

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Diabetes and Lipid Metabolism

A 53-year-old woman presented with symptoms of increased thirst, weight loss and an increased frequency of passing urine. She had background medical history of bronchial asthma for which she occasionally used salbutamol inhaler. On examination, her BMI was 29 kg/m2 . Her general physical and systemic examination was unremarkable except for central adiposity. Her fasting and random glucose readings were 6.5 and 9.2 mmol/L, respectively. Which one of the following biochemical cut-offs are diagnostic of diabetes, based on WHO criteria?

Explanation D. According to the WHO criteria for the diagnosis of diabetes: l A patient is diagnosed to have diabetes if he/she has osmotic symptoms, with biochemical evidence of: u random glucose >11.1 mmol/L; or u fasting glucose >7 mmol/L; or u 2-hour plasma glucose >11.1 on oral glucose tolerance test. l An asymptomatic patient is diagnosed to have diabetes if he/she has biochemical evidence of a fasting glucose >7 mmol/L or random glucose >11.1, with a second confirmatory plasma venous glucose measurement, to be repeated on another day with the glucose reading in diabetic range (fasting, random, or 2-hour post-glucose tolerance test