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Medicine General 7bf620ec

A patient is having random plasma glucose levels of 110 mg/ dl and 113 mg/ dl on two separate occasions. What you will advise him: March 2012

A
Declare him as having Diabetes mellitus
B
Proceed for oral glucose tolerance test
C
Declare patient as normal
D
Check for Glycosylated hemoglobin and if it is raised, declare him as having DM
High-Yield Explanation
Ans: C i.e. Declare patient as normal Diagnosis of DM Random plasma glucose levels of more than 200 mg/dl along with symptoms suggesting diabetes, confirms the diagnosis Random plasma glucose ranging between 140-198 mg/dl is an indication to perform oral glucose tolerance test The use of HbA1c for diagnosing diabetes is unceain. HbAlc is used to monitor glycemic control. The recommended target HbA1c is 7% or less, to minimise the risk of vascular complications So analyzing the options given, RBS values of 110 mg/dl and 113 mg/dl falls in normal range

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