Med-Peds Case Files. Last updated: December 2009. Introduction. ‘Med- Peds Case Files’ are a compilation of cases that are interesting to both internal medicine and pediatric physicians. The purpose of the Case Files is:
Last updated: December 2009
Chief Complaint: Altered mental status
Jacqueline Meeks, M.D.
University of Texas at Houston Health Science Center
* In the absence of unequivocal hyperglycemia, testing should be repeated on a different day.
Diabetic ketoacidosis and hyperosmolar hyperglycemia represent a spectrum of
ADA/AAP recommends checking fasting serum glucose at age 10 or earlier with puberty, every 2 years who meet criteria:
AFP 71(9):1723-29 2005 May 1
AFP 71(9):1705-14 2005 May 1
A. measure glycosylated hemoglobin
B. measure serum insulin and C-peptide level
C. perform a 2 hour oral glucose tolerance test
D. measure blood glucose 1 hour after a high carbohydrate breakfast
E. repeat a fasting blood glucose