From: Stress hyperglycemia as first sign of asymptomatic type 1 diabetes: an instructive case
At primary healthcare center | |||||
Biochemistry | Venous blood gas analysis | ||||
Glucose | 381 mg/dL | (70–100) | pH | 7.391 | (7.32–7.43) |
Na+ | 133 mmol/L | (136–145) | PvCO2 | 31 mmHg | (38–49) |
K+ | 4.3 mmol/L | (3.5–5.1) | PvO2 | 53.4 mmHg | (30–50) |
Ketone | 0.7 mmol/L | (< 0.6) | HCO3 | 19.0 mmol/L | (22–29) |
CRP | 0.5 mg/dL | (< 0.8) | BE | −4.4 mmol/L | (− 4 − + 2) |
On admission | |||||
BH 127 cm (25-50th percentile), BW 23 kg (15th percentile), BT 37.1 °C, HR 116 beats/min RR 32 breaths/min, BP 115/64 mmHg, SpO2 99% (nasal cannula with O2 flow rate 3 L/min) | |||||
Blood cell count | Urinalysis | ||||
WBC | 10,690/μL | (4000–12,000) | pH | 5.0 | (4.5–8.0) |
Hb | 13 g/dL | (11.5–14.5) | Glucose | 4+ | (negative) |
Plt | 25.8 × 104 /μL | (15 × 104–40 × 104) | Ketone body | 2+ | (negative) |
Neutrophil | 91% | (54–62) | Occult blood | – | (negative) |
Lymphocyte | 6.7% | (25–33) | Strip WBC | – | (negative) |
Biochemistry | Arterial blood gas analysis | ||||
Glucose | 373 mg/dL | (70–100) | pH | 7.318 | (7.35–7.45) |
Na+ | 134 mmol/L | (136–145) | PaCO2 | 49 mmHg | (35–45) |
K+ | 4.1 mmol/L | (3.5–5.1) | PaO2 | 67.6 mmHg | (75–100) |
Cl− | 98 mmol/L | (98–107) | HCO3 | 24.8 mmol/L | (21–28) |
AST | 14 IU/L | (< 50) | BE | −1.8 mmol/L | (−4 − + 2) |
ALT | 8 IU/L | (< 45) | SaO2 | 92% | (> 95) |
BUN | 12 mg/dL | (5–18) | |||
Cre | 0.5 mg/dL | (0.3–0.7) | |||
Ketone | 0.9 mmol/L | (< 0.6) | |||
HbA1C | 7.7% | (4.0–5.7) | |||
Islet autoantibodies | Glucagon stimulation test | ||||
Insulin Ab | 5.7% B/T | (< 5.5) | Time | C-peptide | |
Anti-GAD | 7.5 U/mL | (< 1.0) | 0 min | 0.43 ng/ml | (> 0.5) |
Anti-TPO | 15.2 U/mL | (< 35) | 6 min | 1.16 ng/ml | (> 1.8) |
Anti-TG | 5.0 U/mL | (< 20) |