Diabetes Case Study_1 - DIABETES CASE STUDY The following...

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DIABETES CASE STUDY The following questions are based on the attached medical record for a 15 year old who presents with Type 1 diabetes. 1. After examining Susan’s medical history, identify: a. risk factors for type 1 DM? b. signs and/or symptoms that suggest she might have diabetes 2. Identify each abnormal lab value and discuss the probable reason(s) for this problem. 3. When Susan’s blood glucose level is tested at 2 AM, she is hypoglycemic. When she is tested early in the morning before breakfast, she is hyperglycemic. Describe the dawn phenomenon and the Somogyi phenomenon. Which one is Susan likely to be experiencing? Why? How might this be prevented? 4. Once Susan’s blood glucose levels were under control, Dr. Green prescribed the following insulin regimen: before breakfast: 10 μ NPH and 5 μ regular before dinner: 4 μ NPH and 4 μ regular How does a physician determined the initial amount of insulin to prescribe? Why is there less of each type of insulin in the 2 nd dose? 5.
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This note was uploaded on 05/10/2011 for the course NTR 338W taught by Professor Herzele during the Spring '11 term at University of Texas at Austin.

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Diabetes Case Study_1 - DIABETES CASE STUDY The following...

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