NFS 143 Lecture Notes - Lecture 14: Glucose Tolerance Test, Medical Nutrition Therapy, Litre
17 Oct 2017
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Until recently, children and adolescents diagnosed with diabetes were assumed to have type 1 diabetes of an autoimmune etiology: went from 8% - 45% of all diabetes cases being reported now in kids are type 2. Incidence is higher among older children and those who are obese, along with an uptick in minority populations. Look at random non-fasting blood glucose: greater than 200 mg per deciliter there is something negative going on in their systems. Do a fasting-plasma glucose test: have the client do a fast, 126 mg per deci-liter or greater than you can diagnose diabetes. 2 hours plasma glucose: oral glucose tolerance test, 200 mg per deci-liter or greater also an indication of diabetes. Best to repeat these test these levels over a series of days: reassessment. Pathogenesis of insulin-resistance: manifested in puberty, diagnoses of type 2 diabetes can occur later, origin of insulin resistance already starts to develop in puberty.
