The patient is a 78 year old woman who only had 20% kidney function. She also has diabetes and is prescribed insulin to help her blood sugar. Insulin is canceled out by the kidney action.
What type of dosage adjustment would you expect for this patient?
What problems would occur if the dosages are not adjusted?

Answers

Answer 1

Insulin is a hormone. It regulates how much sugar is in your blood. An elevated level of sugar in blood can induce issues in various parts of your body, which includes heart, kidney, eyes, and brain. also leads to kidney disease and kidney failure.

What happens when insulin is inhibited?

Usually insulin provides the storage of glucose as glycogen in the liver. With a lack of insulin, there is both risen liver glucose level through raised glycogenolysis and gluconeogenesis also decline glucose use. The result is hyperglycemia.

Thus no dosage adjustment would be required upto 50%.

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Related Questions

Describe two problems/malfunctions that can occur in this feedback
loop that cause an imbalance of blood glucose levels and lead to
diabetes.

Answers

Answer:

People with type 1 diabetes do not produce insulin due to auto-immune destruction of the insulin producing cells, while people with type 2 diabetes have chronic high blood glucose levels that cause insulin resistance. With diabetes, blood glucose is increased by normal glucagon activity, but the lack of or resistance to insulin means that blood sugar levels are unable to return to normal. This causes metabolic changes that result in diabetes symptoms like weakened blood vessels and frequent urination. Diabetes is normally treated with insulin injections, which replaces the missing negative feedback of normal insulin secretions.

Explanation:

As a person who had been diagnosed with type one diabetes since I was very young.
One would be that your pancreas has stop producing insulin. As a result the sugar and carbs u eat will build up in your blood stream.
If caught before severe damage U would have to take have insulin medication. This is type one. Type 2 is a different story. Your body still produces insulin however only 50%. The hormones to help carry out the insulin dies. So as a result u get a high glucose. Now type 2 is not that extreme. To treat u most likely would use metphormin ( a medication) Hope this helps and u never have to face any of this :)

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