Endocrine Disorders-Type 1 Diabetes
Scenario 2: Type 1 Diabetes
A 14-year-old girl is brought to the pediatrician’s office by his parents who are concerned about their daughter’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily.
PMH: noncontributory.
Allergies-NKDA
FH:- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease process
SH: denies alcohol, tobacco or illicit drug use. Not sexually active.
Labs: random glucose 244 mg/dl.
DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan.
Question
1. Explain the pathophysiology of the three P’s for (polyuria, polydipsia, polyphagia)” with the given diagnosis of Type I DM.
Endocrine Disorders- Scenario 2: Type 1 Diabetes
Name
Department
NURS 6501
Instructor
Due Date
Endocrine Disorders
Type 1 diabetes is a chronic disease that is insulin-dependent diabetes where the pancreas is unable to produce insulin as the insulin-making cells (beta cells) get destroyed. One of the main treatment goals is maintaining blood glucose and hemoglobin A1c level within normal ranges. Similarly, one of the main complications in diabetes is high glucose levels (hyperglycemia), and treatment of diabetes is focused on lowering blood glucose levels. The symptoms of type 1 diabetes are polyuria, polydipsia, polyphagia, and weight loss.
Polyuria refers to the increase in the amount of urine passed daily or how often one urinates daily, but it is a symptom of diabetes that other factors can cause. The body protection against excess glucose in the blood is through increased frequent urine production (Mengíbar et al., 2019)
Polydipsia is the abnormal increase in thirst and is associated with frequent urination. When a large amount of fluid is lost through the urine due to its being carried by glucose, the body experiences more thirst due to the almost constant risk of dehydration. Fluid loss in urine t...