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* nb1
 #138355  
  radhe - 11/13/06 23:28
 
 
36. A previously healthy 52-year-old man comes to the physician because of a 3-month history of increased urinary volume and increased urinary frequency at night. He has had a 6.8-kg (15-lb) weight loss during this period despite no change in appetite. His father has hypertension, and his mother has hypertension and type 2 diabetes mellitus. He currently weighs 95 kg (210 lb) and is 178 cm (70 in) tall. His blood pressure is 160/85 mm Hg in both arms. Examination shows no other abnormalities. His nonfasting serum glucose level is 280 mg/dL. Which of the following serum levels is most likely to be increased in this patient?

A
) Bicarbonate

B
) Glucagon

C
) HDL-cholesterol

D
) Insulin

E
) Ketones
 
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* Re:nb1
#557680
  nida - 11/13/06 23:33
 
  D)  
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* Re:nb1
#557696
  catzung - 11/13/06 23:42
 
  explanation?  
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* Re:nb1
#557712
  nida - 11/14/06 00:04
 
  This patient is Type II DM, with insulin resistance.  
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* Re:nb1
#557860
  malak - 11/14/06 06:41
 
  Insulin
 
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