Identify any significant and/or abnormal laboratory measurements for Mr. Kim. Explain possible mechanisms for the abnormal labs
What will be an ideal response?
Lab Patient's value Normal value Relationship to diagnosis
Glucose 121 mg/dL 70-99 mg/dL Insulin resistance due to excessive body fat (adiposity) that may contribute to inflammation associated with insulin resistance.
ALT 54 U/L 4-36 U/L Damaged liver cells release enzymes when lysed (may be due to inflammation associated with NAFLD).
AST 42 U/L 0-35 U/L Damaged liver cells release enzymes when lysed (may be due to inflammation associated with NAFLD).
Cholesterol 285 mg/dL < 200 mg/dL Excessive saturated fat/inadequate fiber in the diet, which may be contributory to his NAFLD, too.
HDL-C 43 mg/dL > 50 mg/dL N/A
LDL 189 mg/dL < 130 mg/dL Excessive dietary saturated fat intake.
Triglycerides 350 mg/dL 40-160 mg/dL Increased triglyceride production related to NAFLD.
HbA1C 6.1% < 5.7% Insulin resistance and poor glycemic control related to elevated blood glucose value.
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