Which diagnostic criterion is indicative of diabetes mellitus on a random blood glucose test?
Random blood glucose level of 90 mg/dL.
Random blood glucose level of 140 mg/dL or higher.
Random blood glucose level of 110 mg/dL.
Random blood glucose level of 120 mg/dL.
The Correct Answer is B
A random blood glucose level of 140 mg/dL or higher, along with symptoms of hyperglycemia, is indicative of diabetes mellitus. Symptoms may include excessive thirst, frequent urination, and unexplained weight loss.
Incorrect choices:
a. This choice is incorrect. A random blood glucose level of 90 mg/dL is within the normal range.
c. This choice is incorrect. A random blood glucose level of 110 mg/dL is within the normal range.
d. This choice is incorrect. A random blood glucose level of 120 mg/dL is within the normal range
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Correct Answer is C
Explanation
The HbA1c test measures the average blood glucose level over the past 2-3 months and provides information about long-term glucose control. It is commonly used to monitor diabetes management and assess the effectiveness of treatment.
Incorrect choices:
a. This choice is incorrect. The fasting blood glucose test measures blood glucose levels after an overnight fast and provides information about current glucose levels, not long-term control.
b. This choice is incorrect. The OGTT measures the body's ability to clear glucose from the blood and is used to diagnose diabetes and impaired glucose tolerance, but it is not typically used for assessing long-term glucose control.
d. This choice is incorrect. The C-peptide test is used to assess insulin production by the pancreas and is not typically used to assess long-term glucose control.
Correct Answer is D
Explanation
Secondary diabetes mellitus is caused by other medical conditions or factors that affect insulin secretion or action, such as medications, hormonal disorders, or specific medical conditions.
Incorrect choices:
a. This choice is incorrect. Type 1 diabetes mellitus is primarily caused by autoimmune destruction of beta cells.
b. This choice is incorrect. Type 2 diabetes mellitus involves insulin resistance and relative insulin deficiency, often influenced by lifestyle factors.
c. This choice is incorrect. Gestational diabetes mellitus occurs during pregnancy due to hormonal changes and is not primarily caused by other medical conditions or factors.
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