Time after carbohydrate meal (minutes) 0306090120 A4.17.97.47.04.0 B11.017.319.617.715.5 Blood glucose in mmoles/L Urine Test Sugar??Ketone Bodies?? ANegative0 B+++1.5 pm/L I know patient B is suffering from diabetes mellitus but is it type I or II and why?? yep have found an insulin result Patient A= 5.5 ng/ml Patient B= 0.22 ng/ml So Patient B is a Type I diabetic. Thanks for your answers.
Diabetes - 3 Answers
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1 :
Umm ... B may be a type 1. Did "B" take insulin with their meal? What kind? It seems to me that a type 2's insulin would be released more quickly (since their pancreas still produces) so the sugars wouldn't peak that high that fast. Those numbers look like something my daughter would get ... though if she's at 279 at the end of 2 hours then she's not getting enough insulin. This is my totally uneducated opinion :o) I'm not sure you're going to find anyone in this forum that can help you with your homework. --edit-- Mr Peachy, a type 1 does eventually come back down without insulin. The sugar comes out with their urine, that's why there's increased urination and thirst. It just doesn't come down fast enough, and usually not far enough.
2 :
Could be type two since the numbers seem to be coming back down. Not enough info to tell for sure. If the patient were a type one and wasn't treated, it would probably continue upward. The reason is, a type two produces insulin which, despite it not working all that well, will eventually bring the glucose levels down. An untreated type one has no insulin to bring the levels back to normal. Either way, this patient needs help.
3 :
You will need to know this if you are to work with diabetics. You must really understand what you are learning. B is a Type 1 because: -The very high sustained elevated blood glucose readings. -Positive urine ketones -Low insulin levels. Research autoimmune Type 1 diabetes to learn WHY this occurs, and how it is different from Type 2 diabetes.
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