A 12-year-old female is newly diagnosed with type 1 DM (Diabetes mellitus). When the parents ask what causes this, what is the nurse's best response?
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Step 1: Explain that type 1 diabetes is an autoimmune condition. Show more…
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Type 1 diabetes is considered an autoimmune disorder caused by a lack of insulin in the body. Explain, please.
Madhur L.
Chief Complaint: 8-year-old girl with excessive thirst, frequent urination, and weight loss. History: Cindy Mallon, an 8-year-old girl in previously good health, has noticed that, in the past month, she is increasingly thirsty. She gets up several times a night to urinate and finds herself gulping down glassfuls of water. At the dinner table, she seems to be eating twice as much as she used to, yet she has lost 5 pounds in the past month. In the past three days, she has become nauseated, vomiting on three occasions, prompting a visit to her pediatrician. At the doctor's office, blood and urine samples are taken. The following lab results are noted: - Blood glucose level = 545 mg/dl (normal = 50 - 170 mg/dl) - Blood pH level = 7.23 (normal = 7.35 - 7.45) - Urine = tested positive for glucose and for acetone/acetoacetate (i.e. ketone bodies) (normally urine is free of glucose and ketone bodies) Question: Explain in detail the cause of Cindy’s diagnosis? (Include in your answer what endocrine organ is not functioning and what hormone is involved)
Until recently, 6-year-old Billie had no apparent health problems. About 1 week ago, she started to lose weight despite a healthy appetite. She urinated frequently and complained of being tired. Her mom noticed that she was very thirsty and was getting up in the middle of the night to urinate. On examination, her blood sugar was elevated. She was diagnosed with type 1 (juvenile-onset) diabetes mellitus. 1. Which homeostatic mechanism is not properly functioning? 2. Explain the physiology of this disease, what's going wrong? Be specific. 3. What can happen if the diabetes is not controlled?
Sri K.
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