Case Study: Belle Cavillo, a 29 year old gravida 2, para 1, was diagnosed as hav

Question

Case Study: Belle Cavillo, a 29 year old gravida 2, para 1, was diagnosed as having DM a yr ago. Her DM was controlled with low doses of insulin. When her pregnancy was diagnosed at 7 wks’ gestation, her glycosylated hemoglobin was 6.4% and her fastinig blood glucose (FBG) was 98 mg/dL. Belle missed her last two prenatal visits but states that she carefully followed her diet and insulin dosage schedule. Today’s FBG is 96 mg/dL and her glycosylated hemoglobin is 7.0%.

Did Belle maintain effective control? Yes ______ or No _____ Explain your answer:

Explanation / Answer

According to the MayoClinic; A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered in the prediabetes range. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, then diabetes is confirmed.

The reference range for healthy adults is 4.8–5.9% (American Diabetic Association).

For patients with diabetes mellitus, the goal of therapy is less than 7.0% (American Diabetic Association).

Belle could not maintain effective control as in her history; i.e. glycosylated haemoglobin it is 7.0%; which exhibits that her sugar levels were not maintained.

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