10 minute consultation: Newly diagnosed type 2 diabetes mellitusBMJ 2003; 327 doi: https://doi.org/10.1136/sbmj.0309317 (Published 01 September 2003) Cite this as: BMJ 2003;327:0309317
- Susan M Smith, lecturer in community health and general practice1
- 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.
What issues you should cover
Diagnosis--You can make …