D.K. is an 18-year-old high school student who began toexperience weight loss despite a ravenous appetite and resultingincreased dietary intake. She has to make frequent trips to thebathroom to urinate and has difficulty concentrating on her workbecause of fatigue. She drinks large volumes of coffee to help witha constant dry mouth and to combat her fatigue. At a clinicappointment, it was noted that D.K.âs weight has dropped from 140to 128 pounds. She is 5 feet 7 inches tall. Her urine specimenshows glycosuria and ketonuria. A chemstick blood glucose level is412 mg/dl. D.K. had eaten breakfast 3 hours before the chemstickblood test.
1. ConsideringD.K.âs presenting history and physical data, what form of diabetesmellitus is indicated?
2. What are thephysiologic mechanisms involved with the polydipsia, polyuria, andpolyphagia in diabetes mellitus?
3. Whatimmediate and long-term therapy will D.K. need to manage herdisorder?
D.K. is an 18-year-old high school student who began toexperience weight loss despite a ravenous appetite and resultingincreased dietary intake. She has to make frequent trips to thebathroom to urinate and has difficulty concentrating on her workbecause of fatigue. She drinks large volumes of coffee to help witha constant dry mouth and to combat her fatigue. At a clinicappointment, it was noted that D.K.âs weight has dropped from 140to 128 pounds. She is 5 feet 7 inches tall. Her urine specimenshows glycosuria and ketonuria. A chemstick blood glucose level is412 mg/dl. D.K. had eaten breakfast 3 hours before the chemstickblood test.
1. ConsideringD.K.âs presenting history and physical data, what form of diabetesmellitus is indicated?
2. What are thephysiologic mechanisms involved with the polydipsia, polyuria, andpolyphagia in diabetes mellitus?
3. Whatimmediate and long-term therapy will D.K. need to manage herdisorder?
