Abstract:
A 35-year-old otherwise healthy gentleman from Togo, was referred as a \'walk-in\' to our clinic with polyuria and polydipsia, and a glycated haemoglobin (Hba1c) of 119 mmol/mol (13.1%). The patient also noted 5kg weight loss over a short span of time. He had a significant family history of Type 2 Diabetes Mellitus (T2DM). Initial blood tests revealed a blood glucose of 22.84 mmol/L, with positive ketones (1.2 mmol/L). Urinalysis showed glycosuria (1000 mg/dL) but was negative for nitrites and white cells. Renal, liver and thyroid function tests were all within normal limits. He had mild metabolic acidosis.
摘要:
一位来自多哥的35岁健康绅士,被称为“走进”到我们的诊所,患有多尿和多饮,糖化血红蛋白(Hba1c)为119mmol/mol(13.1%)。患者还注意到在短时间内体重减轻了5kg。他有明显的2型糖尿病(T2DM)家族史。最初的血液检查显示血糖为22.84mmol/L,正酮(1.2mmol/L)。尿液分析显示糖尿(1000mg/dL),但亚硝酸盐和白细胞呈阴性。肾,肝脏和甲状腺功能检查均在正常范围内.他有轻度代谢性酸中毒。