Which is not enough to diagnose type 2 DM in asymptomatic patient? a. 1 time HbA1C > 6.5%b. 2 times fasting blood glucose > 7,0 mmol/Lc. 1 time random blood glucose > 11,1 mmol/L
Question
Which is not enough to diagnose type 2 DM in asymptomatic patient? a. 1 time HbA1C > 6.5%b. 2 times fasting blood glucose > 7,0 mmol/Lc. 1 time random blood glucose > 11,1 mmol/L
Solution
The answer is c. 1 time random blood glucose > 11,1 mmol/L.
To diagnose type 2 diabetes mellitus (DM) in an asymptomatic patient, the American Diabetes Association (ADA) recommends that the test should be repeated to confirm the diagnosis. This is because blood glucose levels can vary and may be influenced by many factors, such as diet, stress, illness, and physical activity.
Therefore, a single random blood glucose test with a result > 11,1 mmol/L is not enough to diagnose type 2 DM in an asymptomatic patient. It needs to be confirmed by repeating the test on a different day.
On the other hand, a single HbA1C test with a result > 6.5% or fasting blood glucose test with a result > 7,0 mmol/L on two separate occasions can be enough to diagnose type 2 DM in an asymptomatic patient.
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