Mr. B has described polydipsia as a feeling of very thirsty and complained polyuria as frequent urination.
Question 2. What does HbA1c measure?
HbA1c refers to glycated haemoglobin which develops when haemoglobin joins with glucose in the blood, becoming ‘glycated’ (Choudhary& Kishanrao, 2015). The HbA1c test counts the number of glycosylated red blood cells and reports it as a percentage (Little& Sacks, 2009). It can be used as a diagnostic tests for diabetes in most situations and monitor the diabetes treatment plan (Mukherjee, 2016). By measuring HbA1c, the average level of blood glucose over the past eight to twelve weeks can be shown rather than a …show more content…
Why would the doctor have ordered these blood tests? Why are they significant?
Full blood test (FBC) is a general screen for a variety of disorder which can help to prognosis or diagnose many conditions (Dillon& Harrison, 2009). By analyzing the symptoms Mr. B is complaining about and his unhealthy lifestyle, he has sign of diabetes and dyslipidaemia. Polyuria, Polydipsia are classic symptoms of diabetes (Mccarron& Riebel, 2008) which are obvious on Mr. B. In this circumstance, fasting blood glucose and HbA1c can help to determine whether these symptoms are caused by diabetes or not.
In addition, secondary dyslipidemia may caused by diabetic complications (Jenkins, Toth& Lyons,2014) and in terms of his unhealthy lifestyle, for example smokes, eating disorders, less exercise, drinks. Mr. B is likely to have dyslipidaemia and heart diseases. It is necessary to have blood tests to check his current health status as smoking, diabetes and not getting enough physical activity are risk factors for heart disease (HealthFinder.gov, 2016). Lipoprotein analysis measures blood levels of total cholesterol, LDL cholesterol (low-density lipoprotein), HDL (High-density lipoprotein) cholesterol, and triglycerides (Remaley& Warnick, 2006). Lipoprotein analysis is needed when an individual has potential risks for developing heart disease or diabetes and high levels of lipoproteins can increase the risk of heart disease (Burke, …show more content…
Based on Mr. B’s results, what condition do you think he has developed?
Mr. B’ fasting glucose is 9.9 mmol/L which is too high and means he has diabetes. A fasting glucose of 126 mg/dL (7.0 mmol/L) or higher can be diagnosed as diabetes (Donohue, 2004). In addition, the results of HbA1c can also approve that Mr. B has diabetes as his HbA1c level is 7% which is very high. Individual who has a HbA1c level of 6.5% or higher is considered having diabetes (Mukherjee, 2016).
Besides, through the results of lipoprotein analysis, Mr. B has developed Type2 diabetes, hyperlipidaemia and may experience heart diseases. Triglycerides are a type of fat found in blood and are a source of energy that excessive triglycerides may increase the risk of coronary artery disease (Ebbert & Jensen, 2013). It is found that there is a high prevalence of triglyceride levels in patients with Cardio Vascular Disease (Miller et al., 2011). However, Mr. B has a high triglyceride levels of 3.2 mmol/L which means he may has developed Cardio Vascular