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Sidney Munsch 2.1.

1
1. Diabetes: a group of diseases that result in too much sugar in the blood
2. Symptoms:
Anna Garcia
- Anna is an active 14-year-old girl who, other than being diagnosed with sickle cell disease
when she was a baby, has no other history of major illness. Recently, she reports fatigue and
the inability to complete her normal activities without needing to rest. She also notes that no
matter how much she drinks, she still feels thirsty. The patients mother has noticed that Anna
seems to use the bathroom more often. Anna has lost almost 10 pounds since her last visit
even though her diet and level of exercise has not changed. If anything, her activity level has
decreased due to the fatigue.Annas mother reports a family history of high cholesterol and
heart disease.
Patient A

Patient A is an overweight, 27-year-old woman who recently has noted excessive thirst and
occasional unexplained mood swings. She works as a computer programmer and sits at a desk for
8-10 hours a day. She gets home late and only has time to exercise 1-2 times a week. When she
can exercise, she bikes or runs for 30-45 minutes. Patient A eats a lot of reheated food that is
loaded in sodium and indulges in the occasional fast food meal. She does sit down to a healthy
dinner each night with her family and claims to eat a good amount of fruits and vegetables each day.
Patient A does not think there is anyone in her family who has had diabetes. Routine urinalysis was
normal.

Patient B

Patient B is a 48 year old man who has been experiencing an increase in thirst and urination.
Otherwise, he feels fine, so for months, he has avoided going to the doctor. After two fainting spells,
his wife convinced him to come in for a checkup. He does take medication for both elevated blood
pressure and high cholesterol. He takes occasional walks with his family, but does not participate in
any formalized exercise. He describes a very carbohydrate-heavy diet and claims pasta and
desserts are his two weaknesses. Patient B thinks his maternal grandmother and an uncle on that
side of the family were both diabetics. Routine urinalysis revealed ketones in the urine.

3. Glucose tolerance testing: a test to see is the body is able to metabolize glucose
4. Protocol for test: administer a measured dose of glucose to the stomach and
determine the amount of glucose in the blood. Then use a standard measure for
glucose to find out the result
5. If the patient is normal and does not have diabetes then their body will be able to
metabolize the glucose fine.

Conclusion
1. They use glucose tolerance testing to show if the body can metabolize glucose
the way it should.
2. Insulin is not the course of treatment for both types of diabetes because type 2
diabetes has the insulin but does not produce the hormone.
3. If you eat unhealthy and end up obese then you could eventually develop type 2
diabetes.
4. They have a high chance of developing diabetes soon if they do not change
anything.
5.
Time of Glucose Level in
Blood the Blood
Collection
Anna Garcia

Patient A Patient B

0 (Baseline orange-200 orange-200 orange-200


Level)

30 green-225 green-228 green-225

60 green-250 green- 225 green-225

90 green-250 orange-215 green-250

120 green-230 orange-200 green-225


Insulin table:

Time

Anna Garcia

Patient B

0 50 85

30 25 300

60 25 300

90 30 350

120 35 350

1. To showif

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