Case study of a boy diagnosed with diabetus mellitus.
… cases 1-2 hours after meals, and at bedtime. In practice, however, patients often obtain 2-4 measurements each day, including fasting levels and at various other times, including preprandially and at bedtime.
Instruct patients with type 1 DM in the method of testing for urine ketones using commercially available reagent strips. Also, advise patients to test for urine ketones whenever they develop symptoms of a cold, flu, or other intercurrent illness; nausea, vomiting, or abdominal pain; polyuria; or if they find an unexpectedly high plasma glucose level on self-monitoring. Recommend testing for ketones in all urine samples from …
… due to lack of insulin or poor response to insulin due to stress or illness. It is characterized by hyperglycemia, ketosis, and acidosis, leading to osmotic diuresis and dehydration.
Since Kusuf also has been diagnosed with Ketosis and Acidosis, the key to treatment of DKA is volume repletion, insulin therapy, and specific metabolic corrections.
One of the first steps in managing type 1 DM is diet control. According to the ADA policy, the diet treatment is based upon nutritional assessment and treatment goals. Diet recommendations should be made in view of the patients eating habits and lifestyle.
h Diet …