Y. L a 34-year old Southern Asian

Y. L a 34-year old Southern Asian woman, comes to the clinic with chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low back pain on urination. She tells you she has a vaginal yeast infection that she has treated many times with over-the-counter medication. She works full-time as a clerk in the loan company and states, she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, “by the time I get home and make supper for my family, then put my child to bed, I’m too tired exercise.” She reports her feet hurt; they often “burn or feel like there’re pins in them.” She has a history of gestational diabetes and reports following a traditional eating pattern, which is high in carbohydrates. In reviewing Y. L’s chart, you note she lasts all of provider six years ago after the delivery of her last child. She had gained considerable weight; her current weight is 173 pounds (78.5 kg). Today her BP is 152/97, and a random plasma glucose level is 291 mg/dL. The provider suspect she has developed type II diabetes mellitus (DM) and orders the lab study shown in the chart.

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