The Normal Range Of Bgl ( Blood Glucose Level ) Essay

Case Study Two Derek is a 57-year-old, diagnosed 2 years ago with insulin resistance diabetes. At the time, he had an extremely poor diet with a sedentary lifestyle, and he smoked a pack of cigarettes a day. He presents to you today on his wife’s insistence, complaining of fatigue and polyuria. Derek states, â€Å"I have followed your advice ‘to the letter’ and have reduced smoking to 5 cigarettes/day†. During his physical examination, you note: †¢ Weight 130kg (previous admission: 118kg) †¢ BP of 160/100 mmHg †¢ Pulse 88bpm (reg) †¢ BGL 16mmols/L †¢ Urinalysis; glucose present Question 1 What is the normal range of BGL (Blood Glucose Level)? (1 mark) The normal range of BGL for most of the healthy individuals when fasting is between 4.0 to 6.0 mmol/L and up to 7.8 mmol/L approximately 2 hours after eating (Morris 2014). Question 2 Explain the role of glucagon in approx. 25 words (2 marks) Glucagon signifies â€Å"the liver and muscles to turn glycogen into glucose and release glucose back into the bloodstream† (Morris 2014). The purpose of this is to prevent the blood glucose levels from reaching excessively low levels. Question 3 Explain the role of insulin in approx. 25 words (2 marks) Insulin signifies the liver, muscle and fat cells to take in glucose from the blood, which helps control blood glucose levels (Morris 2014). Insulin, therefore, makes cells permeable to glucose to be used for energy. Question 4 Differentiate the pathophysiology of Diabetes Type OneShow MoreRelatedThe Clinical Manifestations And Pathophysiology Of Type 1 Diabetes1404 Words   |  6 Pageshas presented to hospital with a history of Type 1 Diabetes Mellitus and Grave’s disease. She has been unwell for 3 days with a viral illness so her father has brought her to the emergency department. She has an elevated blood glucose level, glycosuria, polydipsia and elevated blood ketones. Diabetes Mellitus The type 1 Diabetes that Ava lives with differentiates from type 2 Diabetes in that it is characterized by the complete autoimmune destruction of the pancreatic Beta (B) cells that produceRead MoreType 1 Diabetes Aetiology : Autoimmune Destruction Of The Beta Cells1385 Words   |  6 PagesLymphocyte infiltration and destruction of the insulin secreting beta cells of the langerhans within the pancreas. Destruction of beta cells Beta cells decline insulin secretion decreases until insulin is no longer available to maintain normal blood glucose levels.Beta cells are destroyed, hyperglycaemia develops diagnosis of diabetes. Signs and Symptoms: Polyuria, Polydipsia, Polyphagia, weight loss. Nausea, fatigue. Treatment: Subcutaneous Insulin injections Dosing Parameters: Nursing Interventions:Read MoreType 1 Diabetes Is A Life Long Auto-Immune Condition Where1619 Words   |  7 Pages The role of these insulin-producing cells is to sense glucose in the blood, and in response produce the essential amount of insulin to regulate the blood sugar (Griffiths Payne 2014 pp. 390-391). Insulin’s role is to get glucose from the bloodstream into the body’s cells. Without insulin, the sugar stays and builds up in the blood. In turn of this, the body cells starve from the lack of glucose. If left untreated, the high level of blood sugar can cause damage to eyes, kidneys, nerves and theRead MoreThe Nurse As The Educator2201 Words   |  9 Pagesthe main consumer, as well as others that may use the information) My audience is a 52 year old man and his family. Family members, carers and others looking after the patient will need access to adequate information regarding hypoglycemia (low blood sugar). 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The purpose of blood glucose regulation is to keep the body inRead MoreIntensive Glucose Control Of Patients With Type 1 Diabetes Mellitus Essay1606 Words   |  7 PagesTopic Intensive glucose control of patients with type 1 diabetes mellitus to maintain blood glucose levels (BGLs) near normal range Introduction Type 1 diabetes is an autoimmune disorder which can occur from insufficient insulin secretion. Insulin is a hormone which is secreted by the pancreas and regulates BGLs (Loghmani, 2005; Nussey Whitehead, 2001). Type 1 diabetes is also known as insulin dependent diabetes mellitus (IDDM). In this, the body produces no, or very little, insulin which canRead MoreClinical Case Report On John Smith Essay2016 Words   |  9 Pagesa long time. Height is 175 cm and weight is 160 kg. 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Low-grade fevers can occasionally accompany serious medical conditions with symptoms such as Sam’s difficulty breathing, confusion, decreased levels of consciousness and rapid heart rate. http://www.h ealthgrades.com/symptoms/low-grade-feverRead MoreComprehensive Assessments : Comprehensive Assessment1308 Words   |  6 PagesPhysical Assessment Safety. Mr. Fedora is a 38 year-old man with insulin dependent diabetes mellitus (IDDM) who was arrived to the hospital with a blood glucose level (BGL) of 41 mmol/L. He is currently a hallway patient (pt.) admitted to the medical unit. He is currently in pain and nauseous. Neurological system. Upon inspection, Mr. Fedora has a high level of consciousness, as he was awake, and alert. He has a strong cough that is producing yellow sputum. His gag reflex is present and reports feelingRead MoreMedication Of Blood Clot Formation1289 Words   |  6 Pagesprevent blood clot formation and not elimination. Due to diabetes, insulin resistance in your body is high, excessive cholesterol and fat consumption will increase chances of heart diseases more. These factors lead to accumulation of blood clots and damaged arteries which increase blood pressure and decrease blood flow to your heart that is beyond what aspirin can regulate. 66 words You did not experience a heart attack as the test for CKMB which detects signs of heart attack was in normal range