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Data Interpretation Exercise - Essay Example

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Based on WHO and international diabetes Federation diabetes diagnostic criteria, (1999), patient DM is normal since the glucose levels are below 6.1mmol/l during fasting while after fasting the levels are within the range of 6.1mmol/l to7.0 mmol/l …
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Data Interpretation Exercise
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Download file to see previous pages Patients AP and JC have impaired glucose tolerance since the glucose level during fasting is above 6.1mmol/l while during the 2 hour OGTT it ranges from 7.0 to 11.1 mol/l. Finally, patient JL has both impaired glucose tolerance and diabetes since the glucose level before OGTT test are above 7.8mmol/L and the glucose level is above 11.1mol/l during the test. The major symptoms for diabetes mellitus are increased thirst and urine volume, tiredness and fatigue, high levels of glycosuria, unexplained weight gain, blurred vision and recurrent infections (Nathan, 1993; Elliott and Meyer, 2007).The major complications associated with diabetes mellitus are diabetic neuropathy (affecting peripheral nerves, motor and sensory nerves), diabetic nephrophathy, vascular complications and retinopathy (Nathan, 1993). Other long term complications are a predilection towards specific infections such as monilial skin disease and rhonocerebral mycomycosis, cognitive impairment and periarticular thickening of skin causing reduced mobility (Wheat, 1980). 3. What is diabetic ketoacidosis? How and why may it arise in diabetic patients? How may it be effectively treated? Diabetic ketoacidosis is a health condition which occurs mainly in patients with Type 1 diabetes. It occurs due to accumulation of ketones in the blood making it acidic. It is common in type 1 diabetic patients whose pancreas is unable to produce insulin hormone which is needed in glucose utilization. As a result, glucose accumulates in blood stream to levels that are greater than 22mmol/l. Because glucose is not available for cells, fats are broken down to generate energy thus releasing ketones which accumulate in blood making it acidic. Accumulation of ketones affects levels of sugar, body electrolytes and enzymes that control metabolic processes. Diabetic ketoacidosis may also occur under condition such as urinary infections, during stressful conditions or trauma and when insufficient insulin is administered. The symptoms for this condition are rapid weight loss, abdominal pain mostly in children, nausea, dehydration due to frequent urination, vomiting, high blood pressure, presence of ketones in urine and depleted levels of Na and Ka as these electrolytes are lost together with urine. Mild conditions are treated by supplying fluid supplements and injecting of insulin every 3 hours until ketones disappear from urine. On the other hand, moderate to severe cases are treated through patient hospitalization and supplying fluids and electrolytes. The electrolytes should also be checked frequently until they are balanced. The patient should also be monitored ...Download file to see next pagesRead More
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