Question

Scenario #2 TC, a 32-year-old patient, was diagnosed with diabetes mellitus after the birth of her first child; her blood sugar level was 180 mg/dL. Her serum glucose level has been maintained within the normal range with metformin (Glucophage) 500 mg/day. 1. Why was TC, at 32 years of age, taking an oral antidiabetic drug 2. Metformin is indicated for what type of diabetes mellitus? When 3. Why should TC monitor her blood sugar using a home glucometer? instead of insulin should metformin not be taken? Two years later, TC became pregnant again. Metformin was discontinued, and Humulin N insulin 25 units was prescribed. Since the birth of her second child, she has remained on Humulin N 25 units/day 4. Give a possible reason why the health care provider changed the 5. Humulin N is similar to what other type of insulin? How do these 6. Give the onset, peak, and duration of action for Humulin N Insulin. antidiabetic drug to insulin when TC became pregnant. two types differ? When is an insulin reaction most likely to occur with Humulin N? insulin? 7. What are the pros and cons for TC to receive Humulin 70/30 8. What are the signs and symptoms of hypoglycemic reaction? 9. Write one test question for this scenerio. Question is to be short essa

Answer 1

Scenario 2:-

Answer 1)-

Metformin and insulin are utilized to treat diabetes.

A distinction is metformin is utilized to treat just sort 2 diabetes, while insulin might be utilized to treat both sort 1 and sort 2 diabetes.

Metformin is likewise used to treat polycystic ovaries and weight increase because of prescriptions utilized for treating psychoses.

Answer 2)

• Metformin should not be used by patients with an estimated glomerular filtration rate (eGFR) below 30 mL/minute/1.73 m2 and starting metformin in patients with an eGFR between 30-45 mL/minute/1.73 m2 is not recommended.

Answer 3)Home glucometer is very easy to use and can charting be done for doctor reference.

Answer 4)

Insulin is the conventional first-decision tranquilize for blood glucose control amid pregnancy, since it is the best for tweaking blood glucose and it doesn't cross the placenta. In this way, it is ok for the infant. Insulin can be infused with a syringe, an insulin pen, or through an insulin siphon. Every one of the three strategies are ok for pregnant ladies.

In the event that you have type 1 diabetes, pregnancy will influence your insulin treatment plan. Amid the long periods of pregnancy, your body's requirement for insulin will go up. This is particularly valid amid the most recent three months of pregnancy. The requirement for more insulin is brought about by hormones the placenta makes. The placenta makes hormones that assistance the child develop. In the meantime, these hormones obstruct the activity of the mother's insulin. Therefore, your insulin needs will increment.

On the off chance that you have type 2 diabetes, you also need to prepare. On the off chance that you are taking diabetes pills to control your blood glucose, you will most likely be unable to take them when you are pregnant. Since the wellbeing of utilizing diabetes pills amid pregnancy has not been built up, your specialist will most likely have you change to insulin immediately. Likewise, the insulin opposition that happens amid pregnancy regularly diminishes the adequacy of oral diabetes prescription at keeping your blood glucose levels in their objective range.