Identify any abnormal laboratory values measured at this clinic visit and explain their significance for the patient with IBS
What will be an ideal response?
• Glucose (high): Glucose may be elevated due to underlying diabetes.
• HbA1c (high): 6.1% is consistent with a diagnosis of diabetes mellitus.
• Cholesterol (high): The value is 201, which is just above the upper threshold and not a huge concern or a huge factor in the nutritional intervention for IBS, except that perhaps the patient may be advised to decrease fat intake, especially saturated fat intake.
• Triglycerides (high): High, potentially due to excessive dietary fat intake. High dietary fat intake may contribute to IBS symptoms.
• HDL-C (low): Not directly related to her IBS symptoms, but does place her at a greater risk for CVD (along with the other abnormal lipid values)
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What type of reaction is required to bind two molecules of glycine together and release a molecule of water?
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