Obese, polyuria, polydipsia, weight loss

[Rothbard]

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[Evergrey]

T1 -- polydipsia/uria/phagia (with apparent weight loss) are classical symptoms. T2 almost never presents like that (or so I've learned).

 

[septoplasty]

Um, is this some sort of a test to check if we are drunk?

Age gives it away, plus that sort of textbook presentation is classic for T1.

 

[Zuerst]

ya got tripped up by all those fat... all 35 bmi of it...

 

[DoctwoB]

ya got tripped up by all those fat... all 35 bmi of it...

Fatties get primary endocrinopathies also. Don't discriminate.

 

[mvenus929]

Age gives it away, plus that sort of textbook presentation is classic for T1.

Probably not relevant for boards purposes, but children are getting T2 diabetes now. http://www.cdc.gov/diabetes/projects/cda2.htm

 

[sleepy425]

Probably not relevant for boards purposes, but children are getting T2 diabetes now. http://www.cdc.gov/diabetes/projects/cda2.htm

Actually, this is very relevant. There's nothing about that presentation that is inconsistent with either type of DM. Age makes type 1 more likely, but type 2 diabetics absolutely present with weight loss, polyuria, and polydipsia. Given her weight, it's impossible to say based on the presentation which one she has (although, as I said, it's more likely type 1, but not necessarily).

 

[shadowfox87]

Actually, this is very relevant. There's nothing about that presentation that is inconsistent with either type of DM. Age makes type 1 more likely, but type 2 diabetics absolutely present with weight loss, polyuria, and polydipsia. Given her weight, it's impossible to say based on the presentation which one she has (although, as I said, it's more likely type 1, but not necessarily).

I agree, I hate diagnosing based on age, while sure statistically you may be correct, in the real world, it can occur in all ages and you will misdiagnose the smaller percentages.

 

[medstud87]

Lab values needed

 

[El Dooderino]

um, is this some sort of a test to check if we are drunk?

Age gives it away, plus that sort of textbook presentation is classic for t1.

lol

 

[septoplasty]

Actually, this is very relevant. There's nothing about that presentation that is inconsistent with either type of DM. Age makes type 1 more likely, but type 2 diabetics absolutely present with weight loss, polyuria, and polydipsia. Given her weight, it's impossible to say based on the presentation which one she has (although, as I said, it's more likely type 1, but not necessarily).

I read somewhere / heard somewhere, that T2 rarely presents with textbook symptoms like that. Hmmmmmmm.