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Image transcription text Type 1 and Type 2 diabetes are associated with chronic and acute complications, some of which can be life-threatening. Kenchana Singh is a 23-year-old person diagnosed with .T1DM when 14 years. old. T Kenchana had been unwell … Show more 1. Five days after being admitted, Kenchana begins to feel nauseated. She self-administers her morning dose of insulin however does not eat her breakfast. Within 45 minutes, Kenchana begins to tremble, sweat and feel extremely hungry. She monitors her BGL – it is 3.5 mmol/L. Outline four important steps you would include in the education you provide to Kenchana regarding the immediate self-management of hypoglycaemia. 2. Kenchana was diagnosed with DKA. a. Explain the pathophysiology of Diabetic Ketoacidosis including how the condition progresses from hyperglycaemia to life-threatening ketoacidosis and fluid & electrolyte imbalance b. State three causes of DKA and provide brief explanation of how each cause promotes DKA. c. List six signs and symptoms of DKA using medical terminology. (marks deducted for non- use of medical terminology d. Identify the blood glucose level (mmol/L) and blood ketone level (mmol/L) confirming a diagnosis of DKA. 3. Type 1 diabetes is an autoimmune disorder. Identify five antibodies/genes which would positively confirm a diagnosis of T1DM as opposed to T2DM. Do not include genetic risk factors (e.g., Down’s Syndrome), HbA1c, blood glucose level, blood ketone level or signs and symptoms. 4. Diabetes increases the risk of micro and macrovascular complications. One of those complication is peripheral neuropathy and peripheral vascular disease often leading to amputation. After completing a Diabetes Mellitus Assessment Questionnaire, you discover that Kenchana was unaware of the risks associated with her feet. You refer Kenchana to an education session on foot care you are facilitating at the local community health centre. You inform Kenchana that this service is free of charge. Outline ten strategies you would provide a person with diabetes or their family/carer regarding care strategies for feet.

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