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Diabetes - Paper One

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Diabetes
[Name of Author]
[Name of Institution]

Question 1
The key area which must be considered for conducting initial assessments for Jazminder is the identification of hyperglycemia. It is recommended that her glucose concentrations for plasma must be measured. A two-hour post load glucose test or an FPG test is recommended by the International Diabetes Federation (IDF) and WHO for patient susceptible of developing diabetes. Assessment of diabetes is also done through HbA1c in which the hemoglobin HbA1c is measured. This area of assessment has particularly been deemed important by the International Expert Committee (2009). Measurement of HbA1c enables the healthcare providers to assess the blood glucose concentration. The WHO and ADA (2010) has also associated the HbA1c as the major test for diagnosing diabetes.
Jazminder is doubtful that she might develop diabetes because her sister has developed recently. However, apparently there is no symptom for the presence of diabetes in diabetes. According to Saudek et al (2008), asymptomatic people may be at the higher risk of developing diabetes. In particular, for people ≥45 years of age, the screening is necessary. Jazminder must be evaluated for HbA1c, 2-h OGTT, and FPG to get appropriate results. It has been recommended by the IDF that it relies over the healthcare provider to decide which screening must essentially be done for respective patient cases. However, the FPG remains the test suggested in almost every condition. Besides, the ADA and International Expert Committee has favored the HbA1c for assessment of diabetes. According to Sacks et al (2009), if the results of FPG is <5.6 mmol/L (100 mg/dL), the patient must be tested for every three years interval. Likewise, the normal but cautionary ranges for 2-h plasma glucose concentration is <7.8 mmol/L (140 mg/dL). These results indicate that

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