Phys Dis 2

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Type 1 Diabetes

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  • Sarah has been feeling an unquenchable thirst as well as fatigued for many weeks now, it is starting to interrupt her daily routine and work life. She also notices that she has lost a lot of weight recently without trying. Sarah thinks she should perhaps go to her GP to see if there is anything wrong.
  • When Sarah sits down with her GP, she explains how she has been feeling constantly thirsty, extremely fatigued and that the loss of weight in a short space of time has been excessive without effort. The GP is concerned and feels that these could be the signs and symptoms of type one diabetes but needs to rule out the possibility of a urinary tract infection(UTI) along with a kidney infection causing these signs and symptoms
  • The GP suggests that Sarah should have a blood test to determine how high her blood sugar levels are. A urine sample will also need to be taken to check for a UTI. After the blood test is taken, if the blood sugar is high but not enough to make a diagnosis, then an oral glucose tolerance test (OGTT)will be carried out to determine how well her body deals with glucose
  • As the urine sample came back clear for infection then this possibility is ruled out to avoid misdiagnosis. The next stage for Sarah is an OGTT. Sarah drinks a glucose drink and has her blood sugar levels tested every half hour for two hours showing how her body is coping with the glucose intake.
  • Sarah is then told by her GP that her body is not dealing with the glucose how it should be at all. From this he was able to diagnose Sarah with type 1 diabetes. From this they talk about a treatment plan of regular injections of insulin; one type which is fast acting for the day time and another which is slow release for overnight. The GP also books an appointment with a specialist to talk to Sarah about how her treatment will be carried out.
  • Even though Sarah's pancreas is not producing the insulin that it should, with careful action using her medication she is now able to manage her blood glucose levels and does not feel the signs and symptoms in which she did before.
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