Although obesity can contribute to diabetes, the most common cause of type 1 DM is a slowly progressive autoimmune T cell-mediated disease that destroys the beta cells of the pancreas.Eating too many sweets does not contribute to the development of diabetes; the most common cause of type 1 DM is a slowly progressive autoimmune T cell-mediated disease that destroys thebeta cells of the pancreas.REF:p. 45929.A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?a.Fasting plasma glucose levelsb.Random serum glucose levelsc.Genetic testingd.Glycosylated hemoglobin measurementsANS:AFasting blood glucose levels are most beneficial in confirming the diagnosis of diabetes.Random serum levels are not as accurate as fasting.Genetic testing may be important for future determination, but it does not confirm the diagnosis.
Glycosylated testing measures glucose control over time.REF:p. 18 | p. 435 | p. 46230.An 11-year-old male is newly diagnosed with type 1 DM. Which classic symptoms should the nurse assess the patient for?breathingClassic symptoms of type 1 DM include polydipsia, polyuria, polyphagia, and weight loss.Recurrent infections and visual changes are complications of diabetes.Vomiting, abdominal pain, and sweet breath are signs of diabetic ketoacidosis.Weakness, hypotension, and mental confusion are signs of hypoglycemia.REF:p. 46131.A 19-year-old female with type 1 DM was admitted to the hospital with altered consciousness and the following lab values: serum glucose 500 mg/dl (high) and serum K+2 (low). Her parents state that she has been sick with the “flu” for a week. The diagnosis is hyperosmolar hyperglycemia nonketotic syndrome (HHNKS). What relationship do these values have with her insulin deficiency?
electrolyte loss.loss.Because the amount of insulin required to inhibit fat breakdown is less than that needed for effective glucose transport, insulin levels are sufficient to prevent excessive lipolysis and ketosis.Volume is depleted, not increased.Electrolyte loss does occur, but it is not due to fatty acids and glucose metabolism, it is due to insufficient insulin.
- Fall '17
- keisha lovence