What diagnostic test did Simon have the next day?

. Read the Case Study again & answer the following questions.

 

  1. 1. What symptoms is Simon experiencing?

 

Tingling and numbness, weight gain, polyuria, blurry vision,

 

Pain in lower extremities

 

 

 

  1. 2.Which type of Diabetes does the Simon have? 2                                                                                        

 

  1. 3. What diagnostic test/s did Simon have initially? Explain what the test are and what it

reflects.

 

Urinalysis: 4+ glucose, negative for ketones and protein.

 

Random blood glucose: 456 mg/dL.

 

Total cholesterol 243 mg/dL, HDL 20 mg/dL, triglycerides 416 mg/dL.

 

 

  1. II. What diagnostic test did Simon have the next day? For what purpose did the physician order

this test? Explain what the test entails and what it reflects.

 

 

 

 

 

 

 

 

 

 

 

 

 

III. List what diagnostic data provided supports that Simon has Diabetes.

 

 

 

 

 

 

 

  1. 4. On the patient’s 3 month follow-up visit, he forgot to bring his blood sugar log but states that his BS levels have been good. To evaluate his blood sugar control in the past, what test will the MD order and why?

 

 

 

 

 

 

  1. Discuss the acute and chronic complications of Diabetes Mellitus

 

Acute Complications: Differentiate Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic

Nonketotic Syndrome

 

 

DKA

 

HHNS

     No insulin

No glucose

Liver breaks down fat

Ketonuria

Dehydration

 

 

 

 

 

 

 

 

 

Not enough insulin

Cells get minimal glucose

Profound dehydration

Dry mucous membranes

Poor skin turgor

BG> 600

 

 

 

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