Intended for healthcare professionals

Student Education

10 minute consultation: Newly diagnosed type 2 diabetes mellitus

BMJ 2003; 327 doi: (Published 01 September 2003) Cite this as: BMJ 2003;327:0309317
  1. Susan M Smith, lecturer in community health and general practice1
  1. 1Department of Community Health and General Practice, Trinity College Centre for Health Sciences, Adelaide and Meath Hospital Incorporating the National Children's Hospital, Tallaght, Dublin 24, Republic of Ireland

A 62 year old woman has returned to you for the results of blood tests. She had attended for a well woman check up two weeks earlier and had mentioned that she was experiencing persistent fatigue. A random plasma glucose test that day showed a glucose concentration of 11.4 mmol/l, so you had arranged for her to have a fasting blood glucose test. Her fasting blood glucose was 8.5 mmol/l. She has no history of vascular disease or other serious medical conditions. Her aunt had diet controlled diabetes and died of a cerebrovascular event at the age of 68.

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Diagnosis--You can make …

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