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Diabetes Treatment

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Submitted By joleemorehead
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Pages 16
Wrong Treatment, Bad Outcome:
Why Sliding Scale Insulin Should not be Prescribed to College-Age Students
For a patient with newly-diagnosed, type one Diabetes Mellitus (DM1) who is new to managing her insulin and diet, a diagnosis of diabetic ketoacidosis (DKA) would not be unusual. For a 19 year-old college student who went from suddenly losing weight (after a life of being overweight) to gaining weight (after trying to follow a rigid insulin and dietary regimen), a diagnosis of DKA is all but expected. The regimen she has been prescribed is too rigid for someone her age, and the suggested exercise regimen is absurdly lacking. Melanie would benefit from an explanation of the pathophysiology of DM1, the dangers of inadequate insulin and hyperglycemia, the benefits of a daily exercise regimen that can help her keep her weight down, and the possibilities of an intensive insulin regimen that is able to mimic her body’s normal pattern of insulin production, allowing her to lead a more normal life.
Type 1 Diabetes Mellitus

Glucose is the body’s main energy source. Glucose comes primarily from the breakdown of carbohydrates within the small intestine, from which it is absorbed into the blood stream. Maintaining a normal level of glucose within vascular circulation and having that glucose available to be used for energy is imperative for adequate system function. However, just because glucose has successfully been generated (via digestive processes) from food sources and released into the system does not mean that it is suddenly available for use by the majority of the body’s cells . The hormone insulin is needed to allow glucose entry into the cells (McCance, 2014).
Insulin is produced by the pancreas, more specifically, by the beta islet cells of the pancreas. While there is always a minimal level of insulin circulating in the blood stream, when the level of

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