Case 119
Case 119
Case 119
13. Y.L. is instructed to monitor her fasting blood glucose first thing in the
morning and 2 hours after every meal. What are the purposes of this request?
- The purpose of this request is to make sure that her sugar is under control, not too
low in the morning and is not too high after meal
-A test to determine how much glucose sugar) is in a blood sample after an
overnight fast.
-The fasting blood glucose test is commonly used to detect diabetes mellitus. A
blood sample is taken in a lab, physician's office, or hospital. The test is done in the
morning, before the person has eaten.
-The normal range for blood glucose is 70 to 100 mg/dl. Levels between 100 and
126 mg/dl are referred to as impaired fasting glucose or pre-diabetes,
-Diabetes is typically diagnosed when fasting blood glucose levels are 126 mg/dl
or higher
14. Y.L. is instructed to complete ketone testing using the first-voided urine in the
morning.
What is the rationale for this request?
- The presence of urine ketones indicates nocturnal starvation because of
inadequate food intake as a bedtime snack but can also signify the need for
bedtime insulin.
- During pregnancy, there is an increased tendency to catabolize fat and, spare
amino acids and glucose for the developing fetus.
-There is evidence to suggest that elevated ketone levels might decrease
psychomotor skills and lower IQ scores in the fetus.
15. Y.L. asks whether having gestational diabetes will hurt her baby. How would
you respond?
- The higher blood sugar of the mother affects the baby too, since they gets
nutrients from the mother's blood. The baby stores that extra sugar as fat, which
can make them grow larger than normal. They're more likely to have certain
complications: Injuries during delivery because of their size Low blood sugar and
mineral levels when they're born Jaundice, a treatable condition that makes the skin
yellowish Pre-term birth Temporary breathing problems Later in life, the baby
might have a greater chance of obesity and diabetes. So help your child live a
healthy lifestyle -- it can lower their odds for these problems.
16. At the conclusion of the visit, you need to evaluate your teaching. Which
statement made by Y.L. indicates that clarification is necessary?
a. “I will stay on the diabetic diet described by the dietitian.”
b. “I will monitor my glucose levels at least four times each day.”
c. “I need to stop exercising because I will need more carbohydrates.”
d. “I should immediately report any ketones in my urine.”