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Type 1 Diabetes Mellitus: A Case Study

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Diabetes Mellitus is a group of metabolic diseases in which the patient experiences hyperglycemia resulting from a decrease in the secretion or use of insulin. Type 1 diabetes is an autoimmune or idiopathic disorder in which the body destroys the beta cells in the islets of Langerhans of the pancreas, leaving it to be unable to produce insulin. The disorder begins with insulitis, which is an inflammatory process that occurs due to the destruction of the islet cells, which contain the beta cells. In this process insulin production slowly stops and the patient begins to experience the symptoms of diabetes, such as hyperglycemia and ketosis, when 80-90% of the beta cells have been destroyed (LeMone, Burke, Bauldoff, & Gubrud-Howe, 2015). J.T. …show more content…
If the nurse received a blood glucose reading of 50 mg/dl the nurse would initiate the hypoglycemia protocol in place at their institution, which is likely following the Rule of 15. The nurse would provide J.T with 15 grams of a fast acting carbohydrate, such as 3 or 4 glucose tables or 4-6 ounces of juice, then after 15 minutes the nurse would retest his blood glucose and would repeat the process if his glucose level was still below 70. The nurse could repeat this process until his blood glucose level returned to …show more content…
If his blood glucose was within the normal the nurse would continue to monitor J.T. and re-check his blood glucose one hour after he reach a level above 70 mg/dl, as his blood glucose could begin to fall again within in an hour of treatment. There should also be a source of carbohydrates available to him in case of repeat hypoglycemia (LeMone et al., 2015). After checking his blood glucose, the nurse should obtain a set of vital sings and perform a head-to-toe assessment of J.T. with a focus on his neurological status, to confirm that he has stabilized and that there was a reduction of his symptoms (Faett,

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