1. You are an endocrinologist in a Diabetes Centre, and a 38 year-old person who has no signs (symptoms) for diabetes arrived to your clinic, but when you checked his fasting blood sugar (FBS) level, it was 132 mg/dL (7.3 mmol/L). Based on these results, does this result indicate normal blood glucose? Explain
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- 1. You are an endocrinologist in a Diabetes Centre, and a 38 year-old person who has no signs (symptoms) for diabetes arrived to your clinic, but when you checked his fasting blood sugar (FBS) level, it was 132 mg/dL (7.3 mmol/L).A. Based in these results, does this result indicate normal blood glucose? Explain B. What should you then do for/ recommend this person?You are an endocrinologist in a Diabetes Centre, and a 38 year-old person who has no signs (symptoms) for diabetes arrived to your clinic, but when you checked his fasting blood sugar (FBS) level, it was 132 mg/dL (7.3 mmol/L). Based in these results, does this result indicate normal blood glucose? Explain 2.What should you then do for/ recommend this person?In a Diabetes Centre, you are an endocrinologist, and a 38-year-old person who has no symptoms of diabetes arrived at your clinic, but when you checked his fasting blood sugar (FBS) level, it was132 mg/dL (7.3 mmol/L). Based on these results, does this result indicate normal blood glucose?What should you then do for recommend this person?
- 1. Diabetes is one of four non-communicable diseases identified by the World Health Organisation (2021)', accounting for 1.5 million deaths annually. Explain the impact of diabetes on the SIX dimensions of an individual's health.7. A 35-year-old villager with IDDM was examined in the hospital and assured the endocrinologist that he has kept strictly to the recommended diet during insulin treatment. The screening showed that the blood glucose concentration was 6.2 mmol/L; HbA, level was 11.7% (norm 4-6%); no glucose or ketone bodies were detected in the urine. After reviewing the results of laboratory studies, the attending physician was in doubt that the patient followed his nutritional guidelines. Explain this doctor's query. For answer: a) name the reason for the blood HbA, increase; b) list the late complications of diabetes mellitus and explain the molecular mechanisms of their occurrence.10. A prescriber sends the following prescription for insulin:“Inj. 30 units QAM ā breakfast, 20 units ā lunch, and 20 units ā supper.”How many 3-mL vials of Humalog U-200 should be dispensed if a 28 day supply is to be dispensed? Round UP to the nearest vial
- 1. Explain why Benedict’s test is useful for diagnosis of diabetes using urine sample?8.Mrs. Riley is being readmitted to your hospital unit withcomplications related to her diabetes. A coworker voices herfrustrations and says, “We’ve taught her everything she needsto know to do a better job of managing her diabetes. I don’tknow what more we can do.” How do you respond.1. type 2 diabetes using your own words, provide a clear but complete and accurate explanation of the DDC
- 4. (a) If a 10-mL vial of insulin contains 100 units of insulin per milliliter, and a pa- tient is to administer 20 units daily, how many days will the product last the pa- ра- tient? (b) If the patient returned to the pharmacy in exactly 7 weeks for another vial of insulin, was the patient compliant as indicated by the percent compliance rate? 5. A prescription is to be taken as follows: 1 tablet q.i.d. the first day; 1 tablet t.i.d. the second day; 1 tablet b.id. X 5 d; and 1 tablet q.d. thereafter. How many tablets should be dispensed to equal a 30-day supply?3. The following data are serum glucose level distribution of 20 adult clients: 110mg/dl, 70mg/dl, 102mg.dl, 110mg/dl, 120mg/dl, 95mg/dl, 100mg/dl, 112mg/dl, 114mg/dl, 80mg/dl, 120mg/dl, 110mg/dl, 116mg/dl, 119mg/dl, 80mg/dl, 90mg/dl, 110mg/dl, 120mg/dl, 80mg/dl, 110mg/dl. Find or compute Mode, Median, mean, Range & Interquartile range of the above stated set of data.5. Describe differences between Type I and Type II diabetes. Also, what is the "glucagon paradox" as it relates to diabetes. 6. Which blood profile would best be associated with a patient with early stages of Type II diabetes (see question 5 on glucagon paradox) a. High glucose, high insulin, high glucagon b. Low glucose, high insulin, high glucagon c. High glucose, low insulin, high glucagon d. High glucose, high insulin, low glucagon 7. If you have an alpha islet tumor, explain what your expected relative levels of glucose, insulin, and glucagon.