Manel is 12 years old and has been referred to the clinic by his pediatrician. Manuel's mother states mane has lost "a lot” of weight despite having increased appetite. Manuel reports that he is always hungry and thirsty. A random urine specimen test positive for glucose . You order a fasting blood test (Manuel can’t eat or drink for at least 8 hours before the test) and his results show that he has a blood glucose of 353 (normal is 60-100). His AlC blood test is 7.2.