Question

Case Scenario: A 12-year-old boy presents with a blood sugar of 600. He is lethargic, and parents state he has had the flu. He has been fatigued and has lost 15 pounds in the last two weeks. This boy’s history is small for age, lack of focus at times, reoccurring bladder infections for the last six months, states his mouth is dry all the time, is often irritable, and has few interests or friends. The doctors’ notes state he has a diagnosis of autoimmune type 1 diabetes. As this is a new diagnosis, the parents are obviously very upset.

1. Question: Contrast type 1 diabetes with type 2 diabetes, and discuss the potential consequences for poorly controlled diabetes.

Answer 1

Diabetes is a metabolic disease chasache by elevated blood glucose levels & tradequate insulin Diabetes is of 2 type Type I & Type II Type-I Diabetes Type-II Diabetes. It develops when it develops when the insulin producing the insulin producing cells in the body a cells in the body have been destroyed are unable to produce & the body is any enough insulin unable to produce for when the insulin any insulin that is produced doesn't work properly. 3) onset - is Sudden Aule Onset-is gadual It is more common & prevalent 1 It is less common & prevalent iv ketoacidosis is more common in this condition ketoacidosis is rare. w It can occur at any age It occurs mostly in adults. vi) It is an auto immune. It is insulin disease resistance

Treated initially with dict, exercise or pills over time some Type II-D may have © Type-1-Diabetes Type-II - Diabetes vii) It can be healed by external sources and insulin & meal " planning Treatment causes dependence upon injected to inject insulin insulin toy life vil) Risk factors include Risk factors indude history obesity, family. history, hypertension ix) cause: absolute cause: Relative deficiency of insulin deficiency of insulin caused by autoimmune caused by dysfunction destruction of B-cells of B-cells il potential consequences for poorly controlled diabetes : Hyperglycemia leads to Neuropathy : damage to the nerves outside of the brain & spinal cord causing weakness numbnes, tingling Kloss of sensation Nephropathy : disease of kidneys present with persisten albuminuria 6 300 mg/24 hv) characterized by a progressive increase in proteinuria & & in GFR - Premature athero sderosis that leads to CHEA Shoke 9 peripheral artery disease