Type I Diabetes Mellitus simply state is having too much glucose in the blood. Unfortunately, it is not such a simple disease. Type I diabetes is the most dangerous to have and it used to mean an early death to those diagnosed with it.
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It is usually in the emergency room that these patients are diagnosed. They come in very sick, unaware of the severity or nature of their illness. The pancreas, the organ that produces insulin, produces no insulin at all. They seem to think that the bodys immune system attacks and destroys the part of the pancrease that produces insulin (William L. Isley, 2005). This lack of insulin prevents the transportation of glucose to cells, which deprives them of the energy needed for the body to function.
Mrs. S, a 57 year old woman was admitted with a blood sugar of 348 mg/mL today and is also complaining of tingling in her toes. Upon further assessment, the area at the tip of her left great toe shows signs of skin breakdown. She was recently diagnosed with type 1 diabetes. She has not seen her endocrinologist as recommended but she has gone to one diabetes education class. She has a medical history of depression and hypertension (HTN). Her vital signs are as follows: blood pressure -132/76; temperature 98.9 Fahrenheit; pulse 98; respirations 24; weight 196 pounds. Her labs, A1C is at 8.1% and her BUN and creatinine are within normal limits. She currently takes lisinopril (Prinivil) 25 mg, three times a day; Lantus insulin 10 units every morning; Lispro insulin 1 unit per 15 grams of carbohydrates consumed; Lexapro 10 mg daily and vitamin D 2000mg daily.
Common signs and symptoms of diabetes type 1 include the three Ps, Polydypsia (excessive thirst), polyuria (excessive urination), and polyphagia (excessive hunger) (Williams/Hopper,
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