Comprehensive Diabetic Screening

Comprehensive Diabetic Screening

  • Medical History and Physical Examination:

    • Medical History: Detailed review of symptoms (e.g., excessive thirst, frequent urination, blurred vision), family history of diabetes, past medical conditions, and any existing health issues such as cardiovascular disease or hypertension.
    • Physical Examination: Includes measurement of body weight, height, blood pressure, and assessment of physical signs of diabetes-related complications, such as neuropathy or retinopathy.
  • Blood Glucose Tests:

    • Fasting Blood Glucose Test: Measures blood sugar levels after fasting overnight. Elevated results can indicate prediabetes or diabetes.
    • Oral Glucose Tolerance Test (OGTT): Involves fasting overnight and then drinking a glucose solution. Blood glucose levels are measured at intervals (usually 2 hours) to evaluate how well the body handles glucose.
    • Hemoglobin A1c (HbA1c) Test: Provides an average of blood glucose levels over the past 2-3 months. It is useful for diagnosing diabetes and monitoring long-term blood sugar control.
    • Random Blood Glucose Test: Measures blood sugar levels at any time of the day without fasting, often used when symptoms of diabetes are present.
  • Additional Laboratory Tests:

    • C-Peptide Test: Measures the level of C-peptide, which helps assess insulin production and differentiate between type 1 and type 2 diabetes.
    • Fructosamine Test: Measures average blood glucose levels over the past 2-3 weeks, used in specific cases where HbA1c is not suitable.
  • Assessment of Diabetes Complications:

    • Lipid Profile: Evaluates cholesterol and triglyceride levels, which can be affected by diabetes and contribute to cardiovascular risk.
    • Kidney Function Tests: Includes tests like serum creatinine and urine albumin-to-creatinine ratio to assess kidney function and screen for diabetic nephropathy.
    • Eye Examination: A dilated eye exam to check for diabetic retinopathy or other vision issues related to diabetes.
    • Foot Examination: Checks for neuropathy and foot health, including sensation and blood flow, to prevent diabetic foot ulcers.
  • Risk Assessment:

    • Body Mass Index (BMI): Measures body fat based on height and weight, helping assess risk for type 2 diabetes.
    • Waist Circumference: Assesses abdominal fat, a risk factor for type 2 diabetes.
  • Lifestyle and Behavioral Assessment:

    • Dietary Evaluation: Reviews eating habits and nutritional intake to identify areas for improvement.
    • Physical Activity Assessment: Evaluates current exercise levels and provides recommendations for increasing physical activity.

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