QuestionJune 7, 2025

During an office exam for her annual physical Candy Barr (age 56)tells you that she's concerned about an increase in urination and constant feeling of being thirsty. Candy is 5'4'' tall and weighs 185 Ibs. She also has noticed a numbness/tingling sensation in her right leg and foot. A fasting plasma glucose test,an A1C, and a CBC are ordered. Additionally a urinalysis is conducted in the office. Answer the following questions based on the information presented.

During an office exam for her annual physical Candy Barr (age 56)tells you that she's concerned about an increase in urination and constant feeling of being thirsty. Candy is 5'4'' tall and weighs 185 Ibs. She also has noticed a numbness/tingling sensation in her right leg and foot. A fasting plasma glucose test,an A1C, and a CBC are ordered. Additionally a urinalysis is conducted in the office. Answer the following questions based on the information presented.
During an office exam for her annual physical Candy Barr (age 56)tells you that she's concerned about an increase in urination and constant feeling of being thirsty. Candy is 5'4'' tall and weighs 185 Ibs. She also has noticed a numbness/tingling sensation in her right leg and foot. A fasting plasma glucose test,an A1C, and a CBC are ordered. Additionally a urinalysis is conducted in the office. Answer the following questions based on the information presented.

Solution
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Answer

Candy's symptoms and test results suggest a high likelihood of diabetes. Explanation 1. Calculate BMI Convert height to inches: \(5 \times 12 + 4 = 64\) inches. Use **BMI formula**: \( \text{BMI} = \frac{\text{weight in pounds}}{(\text{height in inches})^2} \times 703 \). Calculate: \( \text{BMI} = \frac{185}{64^2} \times 703 \approx 31.8 \). 2. Interpret Symptoms Increased urination, thirst, and numbness/tingling are common symptoms of diabetes. 3. Analyze Fasting Plasma Glucose (FPG) Normal FPG is <100 mg/dL. Prediabetes: 100-125 mg/dL. Diabetes: ≥126 mg/dL. 4. Analyze A1C Test Normal A1C is <5.7%. Prediabetes: 5.7%-6.4%. Diabetes: ≥6.5%. 5. Analyze Urinalysis Check for glucose presence; glucosuria indicates possible diabetes. 6. Conclude Diagnosis Based on symptoms and test results, determine if criteria for diabetes are met.

Explanation

1. Calculate BMI<br /> Convert height to inches: \(5 \times 12 + 4 = 64\) inches. Use **BMI formula**: \( \text{BMI} = \frac{\text{weight in pounds}}{(\text{height in inches})^2} \times 703 \). Calculate: \( \text{BMI} = \frac{185}{64^2} \times 703 \approx 31.8 \).<br />2. Interpret Symptoms<br /> Increased urination, thirst, and numbness/tingling are common symptoms of diabetes.<br />3. Analyze Fasting Plasma Glucose (FPG)<br /> Normal FPG is <100 mg/dL. Prediabetes: 100-125 mg/dL. Diabetes: ≥126 mg/dL.<br />4. Analyze A1C Test<br /> Normal A1C is <5.7%. Prediabetes: 5.7%-6.4%. Diabetes: ≥6.5%.<br />5. Analyze Urinalysis<br /> Check for glucose presence; glucosuria indicates possible diabetes.<br />6. Conclude Diagnosis<br /> Based on symptoms and test results, determine if criteria for diabetes are met.
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