Case Study: 2. Katie Burch, a patient with type 1diabetes, reports that she has

Question

Case Study: 2. Katie Burch, a patient with type 1diabetes, reports that she has been experiencing symptoms of hypoglycemia. She wears an insulin pump. However, when she monitors her glucose levels, they are within normal limits. How can you help her understand what could be happening metabolically and physiologically? On further assessment, you find that Katie also has difficulties with dietary compliance. Using your assessment skills, try to identify the obstacles and ways to assist in finding solutions to the problem. (20 points)

Explanation / Answer

Type 1 diabetes is diabetes mellitus also known as sweet diabetes. In this case there is hyposecretion of insulin from the pancreas because of which there is more amount of glucose in the blood. This is also because insulin receptors doesnot function accurately. Because of the insulin pump the glucose level is maintained i.e the glucose is converted to glycogen and is stored in the limit , so when tests are being done the amount of glucose remains within limits .

The external insulin which is being provided compensates for the less amount of insulin in the body and helps in converting the glucose into glycogen.

Dietary adjustments:-

1.Eat less sugar to maintain the glucose amount in the blood

2. Exercise daily to maintain the metabolism of the body

3. regular test to know the sugar level in the body

4. Need to eat after regular interval so that starvation doesnot takes place in the body.

5. Fibrous food should be taken and medication should be taken at an accurate interval so that the level of medicine is maintined in the body

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