Instructions
You are a medical student on placement in general practice. Hao Lim, 49, is here for the results of his blood tests. They are below.
Take a focused history
Explain the results and your management plan to the patient
Fasting bloods from the mine-site medical (7 days ago)
| Item | Value | Reference range |
|---|---|---|
| HbA1c | 8.1% (65 mmol/mol) | <6.0% |
| Fasting plasma glucose | 8.6 mmol/L | 3.5-5.4 mmol/L |
| Total cholesterol | 5.8 mmol/L | <5.5 mmol/L |
| LDL cholesterol | 3.6 mmol/L | <2.0 mmol/L |
| HDL cholesterol | 0.9 mmol/L | >1.0 mmol/L |
| Triglycerides | 2.4 mmol/L | <2.0 mmol/L |
| Creatinine | 84 umol/L | 60-110 umol/L |
| eGFR | 88 mL/min/1.73m2 | >90 mL/min/1.73m2 |
| Urine albumin-creatinine ratio | 1.8 mg/mmol | <2.5 mg/mmol |
| ALT | 52 U/L | <40 U/L |
| GGT | 68 U/L | <60 U/L |