Case study 22 type 1 diabetes mellitus

It is caused from insulin resistance in the body often times caused by genetic disorders of insulin resistance but can be caused by getting older, obesity and becoming more sedentary.

Diabetes case study assignment

Insulin algorithm for type 1 diabetes mellitus in children and adults. Iris configuration in accommodation in pigment dispersion syndrome. Vomiting, stomach pain and nausea are all symptoms of DKA. A simple dipstick urinalysis revealed large amounts of ketones, which indicated insulin deficiency. The fasting C-peptide was 2. Sparre, T. So between her blood glucose dropping due to the lack of snack and then dropping some more due to the alcohol, that is why Susan felt lightheaded and had to be admitted back into the hospital. Pozzilli, P. How can the physicians distinguish between type I and type II Diabetes? Intern Med. Meal-stimulated Cpeptide and insulin antibodies in type I diabetic subjects and their nondiabetic siblings characterized by HLA-DR antigens. In addition to his type 2 diabetes, he has hypertension, for which he takes losartan Cozaar ; hyperlipidemia, for which he takes atorvastatin Lipitor ; and gout, for which he takes allopurinol Zyloprim.

Other studies have found that it is triggered by enteroviruses NCBI, He stated that his energy level had increased, and his vision was less blurry. A lower ratio means a lower risk for a coronary event. Diabetic ketoacidosis in type 2 diabetes mellitus—pathophsyiology and clinical presentation.

Diabetes case study for students

Limiting her breads and grains in one day can do this. If no, what would you recommend? High density lipoprotein cholesterol as a predictor of coronary heart disease risk. Diabetic ketoacidosis in type 2 diabetes mellitus—pathophsyiology and clinical presentation. Diagnosis and classification of diabetes mellitus. According to the CDCs growth chart Susan is underweight for her age and height and she is within the 25percentile. The Diabetes Educator. List the microvascular and neurological complications associated with type I diabetes. Susan is discharged Friday morning. Autoantibodies in diabetes. Case CC, Maldonado M.

Susan is discharged Friday morning. During an interview, Susan tells you she was invited to a party Saturday night after her discharge on Friday.

Case study of diabetes mellitus type 1 pdf

Ann Intern Med. Pre-breakfast hyperglycemia is sometimes due to the Somogyi effect in which nocturnal hypoglycemia causes release of counter-regulatory hormones that produce hyperglycemia by AM. Endocr Pract. Basal-prandial insulin therapy: Scientific concept review and application. During an interview, Susan tells you she was invited to a party Saturday night after her discharge on Friday. The Clinician would need to monitor her weight every week to make sure Susan is gaining back the weight she needs to get to a normal BMI. Meal-stimulated Cpeptide and insulin antibodies in type I diabetic subjects and their nondiabetic siblings characterized by HLA-DR antigens. This will help ensure she will get back to a normal BMI. Figure 3 Table 3: ADA and AACE Plasma Glucose Goals for Patients with Diabetes Mellitus For diabetic patients taking two-to-three insulin injections per day or more, the blood sugar should be monitored three to four times per day, usually before giving an injection and at bedtime. Once euglycemia is achieved with insulin at the initial event, patients can be switched to oral hypoglycemics. Neurological disorders are often the cause of hyperglycemia that affect diabetics and this affects their heart rate and other bodily functions Haykal, Scheie, H. Figure 6 Table 6: Diabetes Resources Continued support, education, and collaboration between the health care team, the patient and his family will offer the best alternatives for positive outcomes see Table 7. Ketoacidosis results from transient suppression of beta-cell function, the cause of which is unknown. Occult infection should also be considered in a patient with uncontrolled diabetes.

However, because of this lack of knowledge, Susan experienced a couple things regarding her diabetes management on Saturday night. Continued education and encouragement of patient involvement in the control of their diabetes is essential for a positive prognosis.

Describe its major functions with normal metabolism. Her family has no medical history of type I diabetes and her family has no major health issues that relate to type I diabetes.

Uncontrolled diabetes type 2

He was instructed to alternate which mealtime blood sugar to check each day. Newcomer JW. Describe the metabolic events that led to Susans symptoms polyuria, polydipsia, polyphagia, weight loss, and fatigue and integrate these with the pathophysiology of the disease. Dispelling myths and removing barriers about insulin in type 2 diabetes. Sosenko, J. Interestingly, our patient showed none of these symptoms or signs. The clinician should have Susan keep a food log to log what she is taking in to make sure she is meeting all of her energy requirements and macronutrient requirements each day. Susan and her parents verbalize understanding of the instructions and have no further questions at this time. Immune mediated diabetes can occur at any age, even in the 8th and 9th decades of life.

However, it is clear that she still participates in the consumption of alcohol from time to time. Based on her usual dietary intake, she usually consumes pizza, a sandwich, and spaghetti all in one day.

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