NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE
“Living the Sweet Life” by Breanna N. HarrisPart II – Jorge AlvarezCarefully inspect the test results below and use the information together with what you learned from Part I to diagnose the patient and answer the following questions. Alvarez, J. Lab Results – Dr. Gupta, M.D. TestResultNormal RangeRandom blood sugar (mg/dl)200< 140Fasting blood sugar (mg/dl)15575–105GTT glucose at 2hr225< 200Fasting morning cortisol (ug/dl)255–23Hemoglobin A1c %8< 6.5c-peptide (ng/ml)2.50.5 to 2Antibodies against pancreasnormalvariesUrinary glucose (ug/dl)300–15Urinary ketones (mg/dl)20Very little to noneT3 (ng/dl)5080–180T4 (ug/dl)54.6–12
Questions
Based on the data, is Jorge producing adequate insulin? How do you know?
Based on the data, what is your diagnosis for Jorge? What data support this diagnosis?
What treatment would you recommend for this patient?