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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Laboratory Tests Result - BGL:10 Mmol/l Indicate?

• type II diabetes mellitus since having my son nine years ago.
• overweight
• smoke 10 cigarettes a day
• has become insulin dependent in the last 12 months.

On one evening, collapsed and taken to emergency department - was conscious, confused, sweaty and looks unwell. struggling to breathe and oxygen was administered by facemask.

PR: 110 bpm
BP: 100/70 mmHg
RR: 35 breaths/min, shallow
SpO2: unable to be determined
Temperature: 36.5 º C
The chest has widespread coarse crackles throughout both lung fields

In the past week, complaining of swelling in feet and weakness on ambulation.

laboratory tests done:
BGL: 10 mmol/l
CXR: increased whiteness in the lung fields & cardiac hypertrophy
ECG: sinus tachycardia

What could be the potential dianosis ?
Thank you
Thu, 19 Feb 2015
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General & Family Physician 's  Response
Thank you for posting your query. I can understand your concern.

I can understand that you have type 2 diabetes for a long time.

BGL is probably blood glucose 10mmol/l which is around 180-185 mg/dl. It would have been great if you had mentioned fasting or post-prandial.
There is not much to worry.
Regularly check your blood glucose and your doctor will titrate your insulin dose accordingly.

For the increased opacities , swelling of feet, and left ventricular enlargement, I would suggest you to have an ECHO done and visit a cardiologist who will correlate clinically.

Hope this helps. Have a nice day.
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What Do Laboratory Tests Result - BGL:10 Mmol/l Indicate?

Thank you for posting your query. I can understand your concern. I can understand that you have type 2 diabetes for a long time. BGL is probably blood glucose 10mmol/l which is around 180-185 mg/dl. It would have been great if you had mentioned fasting or post-prandial. There is not much to worry. Regularly check your blood glucose and your doctor will titrate your insulin dose accordingly. For the increased opacities , swelling of feet, and left ventricular enlargement, I would suggest you to have an ECHO done and visit a cardiologist who will correlate clinically. Hope this helps. Have a nice day.