Question

4. A diabetic patient is performing their own urinalysis at home using biochemical test strips. While able to read and score the tests, they are not particularly aware of the significance of most of them except glucose. The patient collects their first morning urine but runs the dipstick after work. Their results are as follows: Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 pH 6.0 6.0 6.0 6.0 6.5 6.5 7.0 Protein Neg Neg Neg Trace Neg Trace Neg Glucose 2+ 3+ 3+ 2+ 1+ 1+ 0 Ketones Trace Small Trace Trace Trace 0 Trace Blood 0 0 0 0 0 0 0 Bilirubin 0 0 0 0 0 0 0 Urobili 0 0 0 0 0 0 0 Nitrite 0 0 0 0 1+ 1+ 2+ L.E. 0 0 0 0 0 1+ 2+ S.G. 1.015 1.015 1.020 1.025 1.025 1.015 1.020 The patient happily reports to their doctor that they managed to effectively manage their diabetes in the end days of the week. Do you agree with that conclusion? Why or why not?

Answer 1

Yes, i agree with the patient’s conclusion that he is able to manage diabetes effectively as glucose in urine is nil by day 7, ketones are also trace. Other parameters of urine are also normal, so from urinalysis, it seems he is able to manage diabetes effectively.