8. Presenting with symptoms of recurrent infections, weakness, and frequency of urination over a 6 month period, a 34-year-old man is found to have a blood glucose level of 142 mg/dl and an elevated hemoglobin A1c level. His most likely diagnosis is:
A. Type 2 diabetes
B. Type l diabetes
C. Diabetes insipidus
D. Cushing syndrome
E. Pancreatic endocrine neoplasia
Im stuck between A or b but thinking b
To determine the most likely diagnosis, we need to evaluate the symptoms and the laboratory findings provided in the question. Let's go through the options one by one:
A. Type 2 diabetes: Type 2 diabetes is characterized by insulin resistance and often occurs later in life. While the blood glucose level of 142 mg/dl is slightly elevated, it is not sufficient to confirm a diagnosis of type 2 diabetes.
B. Type 1 diabetes: Type 1 diabetes is an autoimmune condition where the pancreas does not produce insulin. It typically presents in younger individuals. The symptoms of recurrent infections, weakness, frequency of urination, and the elevated hemoglobin A1c level are more consistent with type 1 diabetes.
C. Diabetes insipidus: Diabetes insipidus is a condition that affects the kidneys and results in frequent urination and thirst. However, it does not cause elevated blood glucose levels or increased hemoglobin A1c levels. Therefore, it is unlikely to be the correct diagnosis in this case.
D. Cushing syndrome: Cushing syndrome is characterized by excessive cortisol levels in the blood. While it can cause some symptoms similar to those mentioned, such as weakness, it does not typically cause recurrent infections, frequency of urination, or elevated blood glucose levels.
E. Pancreatic endocrine neoplasia: This term refers to tumors that arise from the endocrine cells of the pancreas. These tumors can cause hormonal imbalances, but the symptoms mentioned in the question, such as recurrent infections, weakness, and frequency of urination, are not typically associated with this condition.
Based on the symptoms of recurrent infections, weakness, frequency of urination, and the laboratory findings of an elevated blood glucose level and an elevated hemoglobin A1c level, the most likely diagnosis in this case is B. Type 1 diabetes.