By Tyler Spiers

No eating or drinking for 8-12 hours Drink a glucose solution Draw blood O min 30 min 60 min 90 min 120 min

Was diagnosed with sickle cell at a young age. Recently has reported fatigue and being unable to complete her usual task. She notes that no matter how much she drinks she still feels thirsty. Her mother reports she uses the bathroom more often than usual. She lost 10 since her last visit even though her die and rate of exercise has not changed. Annas mother reports a history of high cholesterol and heart disease. Glucose in urine, and an occasional tingling sensation.

Patient A is an overweight, 27-year-old woman who recently has noted excessive thirst and occasional unexplained mood swings. She works as a computer programmer and sits at a desk for 810 hours a day. She gets home late and only has time to exercise 1-2 times a week. When she can exercise, she bikes or runs for 30-45 minutes. Patient A eats a lot of reheated food that is loaded in sodium and indulges in the occasional fast food meal. She does sit down to a healthy dinner each night with her family and claims to eat a good amount of fruits and vegetables each day. Patient A does not think there is anyone in her family who has had diabetes. Routine urinalysis was normal.

Patient B is 48 years old and has been experiencing frequent

Type 1 diabetes

Time of Blood Collection (minutes after drinking glucose solution) 0 (Baseline Level) 30 60 90 120

Glucose Level in the Blood (milligrams/deciliter)

Anna Garcia
100
100 400 400 300

Time of Blood Collection (minutes after drinking glucose solution) 0 (Baseline Level) 30
60 90 120

Insulin Level in the Blood (picomoles/liter)

Anna Garcia
150
150 150 150 150

Type 2 diabetic

Time of Blood Collection (minutes after drinking glucose solution) 0 (Baseline Level) 30 60 90 120

Glucose Level in the Blood (milligrams/deciliter)

Patient A
150 175 175 175 150

Time of Blood Collection (minutes after drinking glucose solution) 0 (Baseline Level) 30 60 90 120

Insulin Level in the Blood (picomoles/liter)

Patient A
150 150 300 300 250

Pre- diabetic

Time of Blood Collection (minutes after drinking glucose solution) 0 (Baseline Level) 30 60 90 120

Glucose Level in the Blood (milligrams/deciliter)

Patient B
100
250 400 400 250

Time of Blood Collection (minutes after drinking glucose solution) 0 (Baseline Level) 30 60 90 120

Insulin Level in the Blood (picomoles/liter)

Patient B
200
250 300 250 200