Glucose Testing (GTT) BY: Kinzie Martin

Testing Glucose Tolerance Test (GTT) Tool: Glucometer Gluc-means sugar Meter- measurer Steps: 1.first thing of a morning get your base line number 2.glucose solution 3.stay calm and no activity 4.test 20/20/20/30/30 minutes

Patient A Patient A Patient A I think Patient A is normal. Patient A Time of Blood Collection (minutes after drinking glucose solution) Glucose Level in the Blood (milligrams/deciliter) Patient A 0 (Baseline Level) 150 30 175 60 90 120 Patient A I think Patient A is normal. Patient A Patient A is an overweight, 27-year-old woman who recently has noted excessive thirst and occasional unexplained mood swings. She works as a computer programmer and sits at a desk for 8-10 hours a day. She gets home late and only has time to exercise 1-2 times a week. When she can exercise, she bikes or runs for 30- 45 minutes. Patient A eats a lot of reheated food that is loaded in sodium and indulges in the occasional fast food meal. She does sit down to a healthy dinner each night with her family and claims to eat a good amount of fruits and vegetables each day. Patient A does not think there is anyone in her family who has had diabetes. Routine urinalysis was normal. Time of Blood Collection (minutes after drinking glucose solution) Insulin Level in the Blood (picomoles/liter) Patient A 0 (Baseline Level) 150 30 60 350 90 300 120 250

Patient A Diagnosis Patient A is normal. Her symptoms indicated signs of diabetes such as an increase of thirst, and unexplained mood swings. Her contributing risk factors are things such as she is over weight, she only exercises 1-2 times a week, she eats sodium filled foods like fast food and reheated meals. She does not have any family history of diabetes. Her GTT results show a normal baseline then an 25 mg/dl increase after drinking the solution and then back to her baseline indicating her insulin is producing and managing her levels correctly indicating she is not diabetic.

Patient B Patient B Patient B I think Patient B type 2 diabetes Time of Blood Collection (minutes after drinking glucose solution) Glucose Level in the Blood (milligrams/deciliter) Patient B 0 (Baseline Level) 150 30 200 60 250 90 120 Patient B Patient B is a 48 year old man who has been experiencing an increase in thirst and urination. Otherwise, he feels fine, so for months, he has avoided going to the doctor. After two fainting spells, his wife convinced him to come in for a checkup. He does take medication for both elevated blood pressure and high cholesterol. He takes occasional walks with his family, but does not participate in any formalized exercise. He describes a very carbohydrate-heavy diet and claims pasta and desserts are his two weaknesses. Patient B thinks his maternal grandmother and an uncle on that side of the family were both diabetics. Routine urinalysis revealed ketones in the urine. Time of Blood Collection (minutes after drinking glucose solution) Insulin Level in the Blood (picomoles/liter) Patient B 0 (Baseline Level) 150 30 250 60 350 90 120

Patient B Diagnoses Patient B has Type 2 Diabetes. This patient had symptoms of diabetes such as excessive thirst and frequent urination and high blood pressure. He also had fainting spells, which indicates that his blood sugar was to low and could show he has diabetes. His risk factors consist of high cholesterol, a family history of diabetes, and the ketones in his urine, his age (48), and he is not active along with an unhealthy diet of heavy carbs. His GTT data shows that his insulin level is high which indicates that his body is making insulin showing he is NOT type 1. His blood sugar levels are extremely high (rose by75-100mg/dl after taking the solution), telling me that he is diabetic.

Anna Garcia Anna Garcia Anna Garcia I think Anna Garcia has type 1 Time of Blood Collection (minutes after drinking glucose solution) Glucose Level in the Blood (milligrams/deciliter) Anna Garcia 0 (Baseline Level) 150 30 175 60 250 90 120 200 Patient: Anna Garcia Anna Garcia is an active 14 year old girl who exercises on a regular bases. Anna has sickle cells disease. Anna cannot do her normal activities without feeling tired and needing to rest. Anna is experiencing extreme thirst even with drinking. Anna’s mother says that Anna has not decreased her diet but has lost 10 pounds since her last doctor’s visit, even with a decrease in activity. Anna also has glucose in her urine. Anna has a family of history of high cholesterol, heart disease and cardiovascular disease. Time of Blood Collection (minutes after drinking glucose solution) Insulin Level in the Blood (picomoles/liter) Anna Garcia 0 (Baseline Level) 150 30 60 90 120

Anna Garcia Diagnosis Anna Garcia has Type 1 diabetes. Her symptoms consist of fatigue while trying to be active, extreme thirst (even with lots of drinking), (her diet not changing) her weight loss has become a concern. Her risk factors are she has sickle cell disease, a family history of high cholesterol, heart disease, and cardiovascular diseases, and the glucose in her urine. The GTT test shows her insulin results not changing and her glucose levels increase, increase and increase and they never decrease, Indicating that her insulin is not working. In this case if her pancreas can not produce insulin then she has type 2 diabetes.