Compare the following blood glucose concentration data provided for Maria and Ta
ID: 280362 • Letter: C
Question
Compare the following blood glucose concentration data provided for Maria and Tamika. One of these women has diabetes. Both women ate identical meals at the same times, and got equal amounts of exercise at the same time. Neither is currently taking insulin.
This is the complete chart:
Wake Up:
8:00 am
1 hour after breakfast:
9:00 am
Pre-Lunch:
12:00 pm
2 hours after Lunch:
2:00 pm
Mid- Afternoon:
3:00 pm
1 hour after vigorous exercise:
4:00 pm
Pre-Supper:
6:00 pm
1 hour after supper:
7:00 pm
Bedtime:
11:00 pm
Indicate the times and activities during which the pancreas of a healthy person should release hormones (specify which hormone) and their effect. Determine which woman is diabetic and justify your answer (include information about healthy blood glucose levels).
Blood Glucose Levels Time/Event Maria TamikaWake Up:
8:00 am
4.0 10.01 hour after breakfast:
9:00 am
7.0 14.0Pre-Lunch:
12:00 pm
4.5 10.02 hours after Lunch:
2:00 pm
6.0 15.0Mid- Afternoon:
3:00 pm
4.5 10.01 hour after vigorous exercise:
4:00 pm
4.0 4.0Pre-Supper:
6:00 pm
4.5 9.01 hour after supper:
7:00 pm
6.5 18.0Bedtime:
11:00 pm
4.5 12.0Explanation / Answer
NICE recommended target blood glucose level ranges
Target Levels
by Type
Before meals
(pre prandial)
2 hours after meals
(post prandial)
Non-diabetic
4.0 to 5.9 mmol/L
under 7.8 mmol/L
Type 2 diabetes
4 to 7 mmol/L
under 8.5 mmol/L
Type 1 diabetes
4 to 7 mmol/L
under 9 mmol/L
Children w/ type 1 diabetes
4 to 8 mmol/L
under 10 mmol/L
Time/Event
Maria
Tamika
Hormone release
Wake Up:
8:00 am
4.0
10.0
1 hour after breakfast:
9:00 am
7.0
14.0
INSULIN
( when blood glucose level increases , insulin is released, which converts glucose into glycogen)
Pre-Lunch:
12:00 pm
4.5
10.0
2 hours after Lunch:
2:00 pm
6.0
15.0
Mid- Afternoon:
3:00 pm
4.5
10.0
1 hour after vigorous exercise:
4:00 pm
4.0
4.0
Glucagon
( when blood glucose level falls, glucogan is released , which breaks glucogen to glucose)
Pre-Supper:
6:00 pm
4.5
9.0
1 hour after supper:
7:00 pm
6.5
18.0
Bedtime:
11:00 pm
4.5
12.0
Tamika is diabetic, her blood glucose levels are high compared to normal range.
its due to lack of insulin hormone, which regulates blood glucose level. when blood glucose level increases , insulin converts glucose into glycogen which is stored in liver cells.
She needs antidiabetic drugs and diet management to avoid secondary complications.
Target Levels
by Type
Before meals
(pre prandial)
2 hours after meals
(post prandial)
Non-diabetic
4.0 to 5.9 mmol/L
under 7.8 mmol/L
Type 2 diabetes
4 to 7 mmol/L
under 8.5 mmol/L
Type 1 diabetes
4 to 7 mmol/L
under 9 mmol/L
Children w/ type 1 diabetes
4 to 8 mmol/L
under 10 mmol/L
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