Several subjective findings from the case support the diagnosis of Type 2 diabetes. First, J.T. complains of fatigue, weight loss, extreme thirst, and increased appetite. These symptoms are commonly associated with Type 2 diabetes due to the underlying metabolic abnormalities. Extreme thirst and increased appetite are features of hyperglycemia and insulin resistance. Additionally, J.T. mentions insomnia caused by frequent nocturnal urination. J.T. has a personal history of obesity, hypertension, and hyperlipidemia. He also has a family history of Type 2 diabetes, as his brother has this condition. These subjective findings support the likelihood of a diagnosis of Type 2 diabetes.
Identify at least three objective findings from the case that support the chosen diagnosis.
J.T.’s fasting glucose level of 132 mg/dL exceeds the reference range. Additionally, glucose is present during urinalysis. The A1C level of 7.2% reflects inadequate long-term blood glucose control. The patient’s weight of 240 lbs and BMI of 36.5 indicate obesity, a substantial risk factor for Type 2 diabetes. These objective findings collectively support the diagnosis of Type 2 diabetes.