A Case Study on Insulin Dependent Diabetes Mellitus and Puberty
Essence, B, Lewis
Housatonic Community College A Case Study on Insulin Dependent Diabetes Mellitus and Puberty Insulin dependent diabetes mellitus, also known as type 1 diabetes, is an autoimmune disease that is caused by the destruction of cells that normally produce insulin. Insulin is a hormone produced in the pancreas that removes glucose from the bloodstream for use by the body. Therefore, low insulin levels limit glucose use, increasing blood glucose levels. Insulin dependent diabetes mellitus is not preventable and more common in children than adults (Pope, Nizielski, & McCook, 2016, p. 100). Deborah is a thirteen-year-old schoolgirl who was diagnosed with type 1 diabetes when she was two-years-old. She managed to control her diabetes over the years with daily insulin injections to utilize the energy sugars in her body. With the recent change in her bodily process due to puberty, she has been having difficulties managing and controlling her diabetes. She was rushed to the hospital in a very distressed state and experienced sweating, dehydration and was unable to fully comprehend her surrounds and reality. Deborah was diagnosed with diabetic …show more content…
It is crucial to hourly monitor and document observations, fluids and lab results. Heart rate, respiratory rate, blood pressure and consciousness, along with accurate fluid input and output are elements to the hourly observations. Lab tests acquiring electrolytes, urine and blood, as well as assessments of neurological status is equally as important. Fluid and electrolyte replacement should be done via intravenous (iv.) or orally before and after their assessments. Insulin should also be injected one hour after the fluid and electrolyte repletion (Daneman & Nakhla,
Essence, B, Lewis
Housatonic Community College A Case Study on Insulin Dependent Diabetes Mellitus and Puberty Insulin dependent diabetes mellitus, also known as type 1 diabetes, is an autoimmune disease that is caused by the destruction of cells that normally produce insulin. Insulin is a hormone produced in the pancreas that removes glucose from the bloodstream for use by the body. Therefore, low insulin levels limit glucose use, increasing blood glucose levels. Insulin dependent diabetes mellitus is not preventable and more common in children than adults (Pope, Nizielski, & McCook, 2016, p. 100). Deborah is a thirteen-year-old schoolgirl who was diagnosed with type 1 diabetes when she was two-years-old. She managed to control her diabetes over the years with daily insulin injections to utilize the energy sugars in her body. With the recent change in her bodily process due to puberty, she has been having difficulties managing and controlling her diabetes. She was rushed to the hospital in a very distressed state and experienced sweating, dehydration and was unable to fully comprehend her surrounds and reality. Deborah was diagnosed with diabetic …show more content…
It is crucial to hourly monitor and document observations, fluids and lab results. Heart rate, respiratory rate, blood pressure and consciousness, along with accurate fluid input and output are elements to the hourly observations. Lab tests acquiring electrolytes, urine and blood, as well as assessments of neurological status is equally as important. Fluid and electrolyte replacement should be done via intravenous (iv.) or orally before and after their assessments. Insulin should also be injected one hour after the fluid and electrolyte repletion (Daneman & Nakhla,