1.

Random Blood Sugar Test

➢ Date and Time Ordered: November 29, 2021 7:00 AM
➢ Requesting Physician: Joan Cruz, MD
➢ Brief Description: This is a test for measuring the amount of glucose or sugar circulating
in a patient’s blood at any given point in the day
➢ Purpose: This test was done to the patient to monitor blood sugar levels and to check the
effectiveness of interventions done

Results:
Procedure Date Found Normal Significance
Value Value

November 29, 2021, 7:00 610 mg/dL 80-140 Increased

Random Blood AM mg/dL
Sugar
November 29, 2021, 8:00 612 mg/dL 80-140 Increased
AM mg/dL

November 29, 2021, 9:00 613 mg/dL 80-140 Increased

AM mg/dL

November 29, 2021, 10:00 614 mg/dL 80-140 Increased

AM mg/dL

November 29, 2021, 11:00 614 mg/dL 80-140 Increased

AM mg/dL

November 29, 2021, 12:00 614 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 1:00 617 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 2:00 620 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 3:00 625 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 4:00 622 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 5:00 624 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 6:00 625 mg/dL 80-140 Increased

PM mg/dL
November 29, 2021, 7:00 628 mg/dL 80-140 Increased
PM mg/dL

November 29, 2021, 8:00 630 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 9:00 615 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 10:00 650 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 11:00 660 mg/dL 80-140 Increased

PM mg/dL

November 29, 2021, 12:00 655 mg/dL 80-140 Increased

PM mg/dL

November 30, 2021, 1:00 645 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 2:00 630 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 3:00 620 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 4:00 615 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 5:00 616 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 620 mg/dL 80-140 Increased

6:00 AM mg/dL

November 30, 2021, 7:00 610 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 11:00 612 mg/dL 80-140 Increased

AM mg/dL

November 30, 2021, 7:00 614 mg/dL 80-140 Increased

PM mg/dL

November 30, 2021, 10:00 616 mg/dL 80-140 Increased

PM mg/dL

December 1, 2021, 7:00 610 mg/dL 80-140 Increased

AM mg/dL
 December 1, 2021, 600 mg/dL 80-140 Increased
11:00 AM mg/dL

December 1, 2021, 7:00 580 mg/dL 80-140 Increased

PM mg/dL

December 1, 2021, 10:00 570 mg/dL 80-140 Increased

PM mg/dL

December 2, 2021, 7:00 565 mg/dL 80-140 Increased

AM mg/dL

December 2, 2021, 563 mg/dL 80-140 Increased

11:00 AM mg/dL

December 2, 2021, 7:00 560 mg/dL 80-140 Increased

PM mg/dL

December 2, 2021, 520 mg/dL 80-140 Increased

10:00 PM mg/dL

December 3, 2021, 7:00 400 mg/dL 80-140 Increased

AM mg/dL

December 3, 2021, 350 mg/dL 80-140 Increased

11:00 AM mg/dL

December 3, 2021, 7:00 330 mg/dL 80-140 Increased

PM mg/dL

December 3, 2021, 270 mg/dL 80-140 Increased

10:00 PM mg/dL

December 4, 2021, 7:00 200 mg/dL 80-140 Increased

AM mg/dL

December 4, 2021, 140 mg/dL 80-140 Normal

11:00 AM mg/dL

December 4, 2021, 7:00 137 mg/dL 80-140 Normal

PM mg/dL

December 4, 2021, 132 mg/dL 80-140 Normal

10:00 PM mg/dL

Analysis:
 The results above show that the glucose level of the patient has been monitored at every
hour for the first 24 hours and randomly for the succeeding days of hospitalization. Throughout
the course of hospitalization, blood glucose levels reached up to more than 600 mg/dL and far
exceeded the normal range which indicates the presence of Hyperosmolar Hyperglycemic
Syndrome (HHS). According to Avichal (2021), the basic underlying mechanism of HHS is a
relative reduction in effective circulating insulin with a concomitant rise in counterregulatory
hormones. He added that the concentration of glucose in the plasma is directly proportional to the
degree of dehydration. Thus, higher concentrations of glucose relate to higher degrees of
dehydration, higher plasma osmolality, and a worse prognosis.

However, due to treatments rendered to the patient, it is also evident in the results that blood
glucose level of the patient gradually decreased reaching the normal value during the last day of
hospitalization, which signifies the effectiveness of the management done.