Why did Dr. Lambert order a lipid profile and blood glucose tests?What lipid and glucose levels are considered altered (i.e., outside of normal limits) for the pediatric population?Evaluate Jamey's lab results

Question

What will be an ideal response?

Answer 1

• The combination of being overweight, nightly urination, HTN, and increased appetite along with a family history of gestational diabetes are clues that there may be an increased risk for diabetes.
• Weight status, HTN, and family history are all risk factors for CVD, so performing a lipid panel helps to screen for additional risk factors that can be controlled early on.
• Altered lab results:*
Total Cholesterol >170 mg/dL
LDL Cholesterol >110 mg/dL
HDL Cholesterol ≤ 35 mg/dL
Triglycerides ≥ 150 mg/dL
Glucose 60-100 mg/dL
• Cholesterol and triglycerides are WNL.
• LDL and HDL levels are close to being outside of the acceptable range.
• The glucose level is just outside normal range, but she just ate breakfast two hours before she came in. To be sure, a fasting glucose would be prudent.
*Using this text laboratory values as reference. Substantial variation exists in the ranges quoted as "normal" and these may vary depending on the assay used by different laboratories.