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PAMercer DM & Endocrine
Diagnostic Interpretation 2 Exam 1
75
Medical
Graduate
09/29/2010

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Cards

Term
Glucose level
Definition
Assess carbohydrate metabolism
Diagnose diabetes
Diagnose hypoglycemia
Term
Factors that interfere with glucose level
Definition
Steroids
Diuretics
ASA
Heavy tobacco use
Increased hematocrit
Term
Normal range for Glucose
Definition
65 - 99
Term
Impaired range for glucose
Definition
100 - 125
Term
Glucose level diagnostic for diabetes
Definition
> 126
Term
Conditions with increased Glucose
Definition
DM, Cushing's Syndrome, Pheochromocytoma, Convulsions, Stress, CVA, Acromegaly, Pituitary Adenoma, Hemochromocytoma, Pancreatitis, Liver disease, Renal disease, Pregnancy
Term
Conditions with DECREASED glucose
Definition
Islet cell tumor, Glucagon deficiency, Addison's disease, Hypoglycemic syndrome, Insulin OD, Pancreas/Stomach CA, Liver damage, Starvation
Term
Glucosuria
Definition
Serum glucose > 200
*caution with AM void*
Term
Urine glucose with normal plasma glucose
Definition
Fanconi's Syndrome

Pregnancy
Term
What increased glucose means
Definition
Increase implies that plasma glucose level is elevated or that renal tubules have impaired capacity to reabsorb glucose
Term
Trace urine glucose
Definition
100 mg/dl
Term
1+ urine glucose
Definition
200 mg/dl
Term
2+ urine glucose
Definition
500 mg/dl
Term
3+ Urine Glucose
Definition
1000 mg/dl
Term
4+ urine glucose
Definition
2000 mg/dl
Term
Time to wait to read urine protein
Definition
60 seconds
Term
Time to wait to read urine glucose
Definition
30 seconds
Term
Normal level for urine protein
Definition
5 - 15 mg/dl
Term
Trace urine protein
Definition
15 mg/dl
Perform microalbuminuria
Term
1+ urine protein
Definition
30 mg/dl
Perform 24 hr urine collection
Term
2+ urine protein
Definition
100 mg/dl
Term
3+ urine protein
Definition
300 mg/dl
Term
4+ urine protein
Definition
1000 mg/dl
Term
Use of urine ketones
Definition
Detects acetoacetic (ketoacid) in the urine which is produced in excess whenever there is lipolysis with liberation of fatty acid substrates (as in *DKA*, starvation ketosis, intoxicants)
Term
Normal elevations of urine ketones
Definition
Fasting
Pregnancy
Frequent strenuous exercise
Term
Time to wait to read urine ketones
Definition
40 seconds
Term
Trace urine ketones
Definition
5 mg/dl
Term
Small urine ketones
Definition
15 mg/dl
Term
Moderate urine ketones
Definition
40 mg/dl
Term
Large urine ketones
Definition
80 mg/dl
Term
Use of urine microalbuminuria test
Definition
Used to evaluate proteinuria
Diabetes mellitus
Hypertension
Renal disease
Term
Normal urine albumin level
Definition
< 30 mg/L
Term
Abnormal urine albumin
Definition
30 - 300 mg/L
> 300 mg/L
Term
Normal alb/cr ratio for males
Definition
2.5 mg/mmol
Term
Normal alb/cr ratio for female
Definition
3.5 mg/mmol
Term
Most stable renal function test in DM
Definition
Creatinine
Term
What type of medication can increase renal function levels in DM
Definition
ACEI & ARB
Term
Non-diabetic level for HgbA1c
Definition
< 6.0
Term
Reasons HgbA1c may be increased
Definition
Diabetes mellitus, Sickle cell, Hgb C variant, Fe deficiency anemia, EtOH intoxication, Lead toxicity
Term
Reasons HgbA1c may be decreased
Definition
High Hgb F, Hemolytic anemia, Chronic blood loss, Pregnancy, Chronic RF
Term
Normal insulin range
Definition
< 20
Term
Use of insulin test
Definition
Determines insulin dosage in patients
Assists with diagnosis of DM type 1
Term
Reasons for increased insulin levels
Definition
Insulinoma
Hyperinsulinism
Term
Normal range for Insulin Antibody
Definition
< 1
Term
Indications for insulin antibody test
Definition
Assesses for DM type 1
Term
Reasons for increased insulin antibody
Definition
DM type 1
Autoimmune syndromes
Term
Normal Islet Cell Antibody amount
Definition
Negative
Term
Indications for Islet Cell Antibody test
Definition
Assesses for DM type 1

Positive for DM type 1
Term
Normal range for C peptide
Definition
0.8 - 3.1
Term
Indications for C Peptide test
Definition
Assesses pancreatic islet cell function
Differentiates between type 1 & 2
Term
Increased C Peptide present in...
Definition
Insulinoma
DM type 2
Renal failure
Term
Decreased C Peptide present in...
Definition
DM type 1
Insulin administration
Pancreatectomy
Term
Insulin levels in DM type 1
Definition
low/zero
Term
Insulin levels in DM type 2
Definition
normal
Term
C peptide levels in DM type 1
Definition
low
Term
C peptide levels in DM type 2
Definition
normal
Term
Islet ab in DM type 1
Definition
positive
Term
Islet ab DM type 2
Definition
negative
Term
Insulin normal fasting
Definition
5 - 20
Term
Insulin 1 hr postprandial
Definition
50-130
Term
Glucose Tolerance test indications
Definition
FH, Obesity, Unexplained hypoglycemia, Hypoglycemia in pregnancy
Term
Discontinue these meds 3 days prior to Glucose Tolerance test
Definition
BCPs, Steroids, ASA, NSAIDs, Diuretics, Anticonvulsants, Hypertensives, Hypoglycemics
Term
Glucose tolerance test increased in
Definition
Pancreas Malignancy
Addison's Disease
Liver Disease
Hypothyroidism
Term
Glucose tolerance test decreased in
Definition
DM, Postgastrectomy, Hyperthyroid, Hemochromatosis, Hyperlipidemia, Pheochromocytoma, Cushing's Disease
Term
Normal glucose at 0 min in GTT
Definition
< 110
Term
Impaired Gluc at 0 min in GTT
Definition
110 - 125
Term
DM at 0 min in GTT
Definition
> 126
Term
Normal at 120 min for GTT
Definition
< 140
Term
Impaired Gluc at 120 min for GTT
Definition
140 - 200
Term
DM at 120 min for GTT
Definition
> 200
Term
Thyroid Stimulating Hormone
Definition
Diagnoses hypothyroidism and hyperthyroidism
Monitors T4 replacement
Normal 0.40 - 4.5
Increased - Hypothyroid
Decreased - Hyperthyroid
Term
Free t4 (thyroxine)
Definition
Estimates actual T4
Normal is 0.8 - 1.8
Increased - hyperthyroid
Decreased - hypothyroid
Term
Total T4
Definition
Normal 4.8 - 10.4
Increased - hyperthyroid, estrogen, pregnancy
Decreased - hypothyroid
Term
Free T4 index
Definition
Normal 1.4 - 3.8
More stable in diagnosis & med monitoring
Calculation of free T4 & T3 binding ratio
Corrects for abnormal thyroid binding globulin (TBG)
Term
Free T3
Definition
Used for hyperthyroid conditions - Graves, adenoma
Normal 230 - 420
Increased - Graves, thyrotoxicosis, thyroid adenoma
Decreased - hypothyroid
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