Thursday, April 16, 2009

Does the presence of glucose in the urine always indicate diabetes mellitus? Why or why not

Does the presence of glucose in the urine always indicate diabetes mellitus? Why or why not?

Diabetes - 3 Answers
Random Answers, Critics, Comments, Opinions :
1 :
It could also indicate Fanconi's Syndrome http://www.wrongdiagnosis.com/f/fanconis_syndrome/intro.htm or glucosuria: http://www.wrongdiagnosis.com/sym/glucosuria.htm
2 :
When there is glucose in the urine, the most common cause is diabetes. Some other forms of kidney disease can also cause glucose to spill over into the urine. It is possible to have a benign form where small amounts of glucose can be found in the urine and the kidneys are normal. This tends to be an inherited condition. If you have glucose in your urine you need a blood test for diabetes, called a glucose tolerance test. This measures how well your body controls you blood sugar level after consuming some glucose. More here on testing: http://www.freemd.com/Diabetes/evaluation.htm
3 :
Urine glucose is no longer recommended for the diagnosis of diabetes nor to follow those with diabetes. There is a very poor correlation between serum glucose and glucose in the urine. For example: you may have 2+ urine glucose with a serum glucose of 70 mg/dL (US Units) or 3.9 mmol/L (International Units) and you may have 0 urine glucose with a markedly elevated serum glucose. The reasons are many and beyond the scope of this forum. If you would like additional information please let me know at my university address johnerussomd@jhu.edu - thank you.

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