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Which of the following nutrition diagnoses might be appropriate for a patient with a fasting blood glucose level of 135 mg/dL?

  1. Alteration in metabolism (type 1 diabetes mellitus)

  2. Alteration in metabolism (hyperglycemia)

  3. Altered nutrition related laboratory values

  4. Gestational diabetes

The correct answer is: Altered nutrition related laboratory values

In the context of a fasting blood glucose level of 135 mg/dL, the most relevant diagnosis pertains to altered laboratory values. This is indicative of hyperglycemia, as a normal fasting blood glucose level is typically below 100 mg/dL, and levels between 100 and 125 mg/dL suggest prediabetes. Levels equal to or above 126 mg/dL can indicate diabetes. Hence, a reading of 135 mg/dL reflects a significant alteration in laboratory values suggesting a need for further assessment and intervention. While it may be tempting to link this scenario directly to specific conditions like type 1 diabetes mellitus, gestational diabetes, or general hyperglycemia, these options don't fully capture the focus on laboratory values. The diagnosis of altered nutrition-related laboratory values highlights the importance of assessing and interpreting the results of laboratory tests as critical components of nutrition assessment. This is essential for developing a tailored nutrition care plan appropriate to the individual's metabolic status.