Maddy Morrison Diabetes Explained for Students (Easy Guide)

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Original Question

Ms Maddy Morrison, 26 yo has had T1 diabetes since she was 4 yo. She uses both continuous glucose monitoring and an insulin pump which administers fast acting insulin. Today she has presented to the clinic feeling very unwell. She tells you that she has had a heavy cold for the past two days with a significant green mucus discharge. She says that she has been urinating a lot more frequently and is feeling very thirsty and tired. Collect cues: Vital Signs • RR = 28 bpm • SpO2 = 100% • BP = 95/55 (MAP 68 mmHg) • HR = 110 bpm • Temp = 37.8 oC Fluid status assessment • weak peripheral pulses • dry mucous membranes • poor skin turgor • pale and cool to touch • capillary refill 3 sec • thirsty • voiding frequently. Peripheral blood glucose monitoring • BGL = 28mmol/L • Ketone = 5.0mmol/L (ref range <0.1 mmol/L. What is the alternations in endocrine system in this case study.

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