Total Parenteral Nutrition (TPN) is ordered for a 22 year old female patient is 6 ft 3 in tall and weighs 294 lbs.This patient has a caloric adjustment factor of 1.4. What is the Total Daily Energy Requirement (TDER) for this patient? Round the answer to the nearest whole number

CALLY NON- Blood glucose level (mmol/L) 0 2 10- 12 8 6 4 0 15 60 45 Time after meal (minutes) The normal blood glucose level before meals ranges from 4.0 to 5.9 mmol/L. Describe and explain the change in Angus' blood glucose levels after eating cereal. Julia 30 Angus --- 75 90 105 120 b. Julia was diagnosed three months ago as having type 1 diabetes mellitus. State two pieces of evidence from the graph that indicate Julia has diabetes mellitus.

Write a summery for the Scenario Scenario: The patient questions the accuracy of the glucose readings obtained using their glucometer. The medical assistant requests that the patient bring their glucometer to the office so the results can be compared with the glucometer used by the clinic. Also that the medical assistant demonstrates the use of a control on the patients device.

Answers to questions 12 and 13

A 12-year-old boy is brought to the physician because of increased urination and progressive fatigue during the past two weeks. Vital signs are within normal limits except for a pulse of 120/min. Physical examination shows dry skin and mucous membranes. His fasting serum glucose concentration is 350 mg/dL. The patient improves after insulin treatment. Which of the following best describes the effect of insulin binding to the insulin receptor (IR) on the surface of hepatocytes in this patient? a. Activation of serine/threonine kinase activity of the IR b. Down regulation of phosphoenolpyruvate carboxykinase c. Inactivation of ras d. Inhibition of glucose-transporter-4 (GLUT-4) translocation to the cell membrane e. Inhibition of phosphatidylinositol-3-kinase signaling pathway

A 42 year old man reports to his physician for annual physical examination. He is 5'8" and weighs 240 pounds with a skin fold test revealing 33% body fat composition. The patient complains of recent episodes of waking up in the middle of the night with the urge to urinate. Further questioning reveals he has also been thirstier than normal. Laboratory analysis reveals a random plasma glucose level of 160 mg/dL and hemoglobin A1c of 7.2%. His physician orders further testing and it is found that his C-peptide level is normal. What type of diabetes would this patient have? O Type 1 O Type 2 O Gestational Other

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A dietitian in your hospital has analyzed food samples A and B where he reported their glycemic indices to be 65 and 23 respectively, as a nursing practionar suggest with reason which of the food samples you would avoid administrating to a diabetic patient in your ward.

The glucose tolerance test is prescribed under which of the following patient scenarios? Ⓒ Fasting blood sugar greater than 7.8 mmol/L and patient presents with the signs and symptoms of hyperglycemia. Fasting blood sugar greater than 7.8 mmol/L Fasting blood sugar increased and patient asymptomatic. Fasting blood sugar less than 7.8 mmol/L and patient presents with the signs and symptoms of hyperglycemia