A 42 years old male has strong positive Benedict's test, random blood sugar is > 163 mg%, fasting blood sugar is > 200 mg% Next line of investigation is -:
Ans. is 'b' Oral G.T.T. Diagnostic Criteria for Diabetes(1) Symptoms of diabetes plus random blood glucose concentration >= 200 mg/dl. (Random is defined as without regard to time since last meal) or(2) Fasting plasma glucose >= (126 mg/dl) or(3) Two hour plasma glucose >= (200mg/dl) during an oral GTTHarrison further adds that in the absence of unequivocal hyperglycemia and acute metabolic decompensation these criteria's should be confirmed by repeat testing on a different day.Now coming to the questionRandom blood sugar => 163 mg%Fasting blood sugar => 200 mg%The random blood sugar level of this patient does not meet the criteria for diabetes mellitus whereas fasting blood sugar far exceeds the required level i.e. the tests give an equivocal result so according to Harrison this pt must undergo further test on another day.Benedicts test is a qualitative test for detecting the presence of sugar in urine so there is no use in repeating it.
Urine glucose charting 5 hourly
Oral GTT
Repeat benedict's test
24 hr. urine sugar estimation
Endocrinology