KROK 1 2015 – Question 83 · KROK (Medicine) · Pathophysiology

According to the results of glucose tolerance test a patient has no disorder of carbohydrate tolerance. Despite that glucose is detected in the patients’s urine (5 mmol/l). The patient has been diagnosed with renal diabetes. What renal changes cause glucosuria in this case?

  1. A. Increased activity of glucose reabsorption enzymes
  2. B. Increased glucose filtration
  3. C. Increased glucose secretion
  4. D. Decreased activity of glucose reabsorption enzymes
  5. E. Exceeded glucose reabsorption threshold
Hint

Because glucose tolerance is normal, think about what must differ in the kidney itself, comparing glomerular filtration with the tubular processing of glucose.

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