A 200-pound patient was admitted to the hospital because of a 10-day history of polyuria, polydipsia, and polyphagia. She has been very nervous, irritable, and very sensitive emotionally and cries easily. During this period, she has had headaches and has become very sleepy and tired after eating. On admission, her Accu-Chek was 540. Family history is significant in that both parents and two sisters have IDDM. Physical examination was essentially negative. The abdomen was difficult to evaluate because of morbid obesity.
Diagnosis:
1. Diabetes mellitus
2. Obesity, exogenous
Questions:
1 – If this patient’s final diagnosis is NIDDM, what would be her treatment? What does this abbreviation mean, explain it out.
2 – What is the definition of polyphagia and explain why this is a sign.
3 – IDDM is defined as and what is the difference with NIDDM.
4 – What are this patient’s signs of diabetes? ( be careful with the difference between signs and symptoms!!!)
5 – How would the patient’s treatment differ if she has IDDM?
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