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Exam questionKROK 1Medicine · 2015

A 15-year-old patient has fasting plasma glucose level 4,8 mmol/l, one hour after glucose challenge it becomes 9,0 mmol/l, in 2 hours it is 7,0 mmol/l, in 3 hours it is 4,8 mmol/l. Such parameters are characteristic of:

Answer options

  1. Subclinical diabetes mellitus
  2. Diabetes mellitus type 2
  3. Diabetes mellitus type 1
  4. Cushing’s disease
  5. Healthy person
Correct answer

Subclinical diabetes mellitus

Explanation

Fasting glucose is normal before and after. However, in healthy persons, it goes back to normal 2 hours after the glucose challenge, not 3. This suboptimal glucose control is typical for Subclinical Diabetes Mellitus.

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