Case Study about Carbohydrate -Related Medical Problem

In: Nursing

Case Study about Carbohydrate -Related Medical Problem (Diabetes Mellitus) Patient History: RX, a 6-year-old girl in…

Case Study about Carbohydrate -Related Medical Problem (Diabetes Mellitus)
Patient History: RX, a 6-year-old girl in previously good health, has noticed that, in the past
month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself
gulping down large amount of water. At the dinner table, she seems to be eating twice as much
as she used to, yet she has lost 4 kilograms in the past month. In the past three days, she has
become nauseated, vomiting on three occasions, prompting a visit to her pediatrician.
Laboratory Results:
 Fasting blood glucose level = 445 mg/dl
 blood pH level = 7.23
 Hb A1C = 9.5%
 C-Peptide Test = 0.4 ng/ml
 urine = tested positive for glucose and for acetone / acetoacetate/ beta hydroxybutyric
acid
Based on the given case, answer the following guide questions:

1. Explain why RX is urinating so frequently.
2. How is RX’s condition like that of starvation? Address the role of glucagon in your
answer.
3. Based on your answer in no. 2, what foods will be highly recommended to the patient?
Explain.
4. Do you believe that you can adjust your diabetes drugs to ‘Cover’ whatever you eat?
Why?

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