Foundations in Continuing Education

The Dental Patient with Diabetes

Chapter Eight - Diagnosing Diabetes


Chapter 1: Glucose Metabolism and Hormonal Regulation Review

Chapter 2: Diabetes Mellitus

Chapter 3: Diabetes Mellitus Type 1

Chapter 4: Diabetes Mellitus Type 2

Chapter 5: Gestational Diabetes Mellitus (GDM)

Chapter 6: Pre Diabetes: Impaired Glucose Homeostasis

Chapter 7: Other Specific Types of Diabetes

Urine Tests
Blood Tests

Chapter 9: Diagnosis

Chapter 10: Glucose Monitoring

Chapter 11: Complications of Diabetes

Chapter 12: The Dental Patient with Diabetes

Chapter 13: Successful Intervention of Diabetic Emergencies

Chapter 14: Prevention and Treatment of DM

Chapter 15: Diabetes Medications

Chapter 16: Conclusion

Glossary

Appendices

References

Post Examination

Exit to Menu





Blood Tests

Fasting Plasma Glucose Test

This is a simple test that can be performed after nothing has been taken by mouth except water for at least 8 hours. A single sample of blood is drawn and analyzed.

Casual or Random Plasma Glucose Test

This test is performed regardless of when the individual last ingested food. It is not abnormal to see blood glucose levels between 140 mg/dL and 200mg/dL after having eaten a meal. However, if other symptoms (polydypsia, polyuria, weight loss) are present and blood glucose levels are Greater than or Equal to200 mg/dL there is little doubt about a diagnosis of diabetes.

Oral Glucose Tolerance Test

This test measures glucose levels five times in three hours. In diabetics, levels rise higher than normal and do not come back down as fast as seen in a person without the disease. Individuals must fast at least 10 hours but not more that 16 hours prior to taking this test. After the fasting plasma glucose is tested, the individual receives 75 grams of glucose in dissolved in water (100 grams for pregnant women). Blood samples are then taken at 30 minutes, 1 hour, 2 hours and 3 hours to measure glucose levels. This test requires that the individual be in good health and taking no medications that might affect blood glucose levels. (19,21)

Continue on to Chapter 9: Diagnosis