Assess Matias's height and weight. Calculate his BMI.
What will be an ideal response?
Q. 2Outline the basic principles for Matias's nutrition therapy to assist in control of his DM.
What will be an ideal response?
Q. 3Matias's mother has T2DM. She is currently having problems with vision and burning in her feet. What is she most likely experiencing? Describe the pathophysiology of these complications.
You can tell that he is worried not only about his mother but also about his own health. Explain, using results of the Diabetes Complication and Control Trial (DCCT) as well as any other pertinent research data, how he can prevent these complications.
Q. 4Matias tells you that he is very frightened of having his blood sugar drop too low. What is hypoglycemia? What are the symptoms? What information would you give to Matias to make sure he is well prepared to prevent or treat hypoglycemia?
What will be an ideal response?
Q. 5Intensive insulin therapy requires frequent blood glucose self-monitoring. What are some of the barriers to success for patients who begin this type of therapy? Give suggestions on how you might work with Matias to support his compliance.
What will be an ideal response?
Q. 6Using his current weight of 165 lbs, determine the discharge dose of glargine as well as an appropriate ICR for Matias to start with.
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Q. 7Matias will be started on a combination of Novolog prior to meals and snacks with glargine given in the pm. Describe the onset, peak, and duration for each of these types of insulin.
What will be an ideal response?
Q. 8Describe the metabolic events that result in the signs and symptoms associated with DKA. Was Matias in this state when he was admitted? What precipitating factors may lead to DKA?
What will be an ideal response?
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