Olivia is a 9-year-old who has been healthy all her life. Hermother has recently noticed that she has lost 5 lbs since her lastdoctor’s visit even though she seems to be eating twice as much asshe used to at dinner. She also noticed that she was drinking agreat deal more the past week, often gulping down large amounts ofwater. Normally, Olivia sleeps through the night, but she has beenwaking up at night to use the bathroom. Today Olivia says she istoo tired to go to school. She complains that she is nauseated andvomits while her mom is in her bedroom. When her mom goes into herbedroom, she notices that she has wet the bed during the night.Oliva’s mother is concerned and calls the pediatrician for anappointment. Today at the pediatrician’s, blood and urine samplesare taken and show the following results:
- Fasting blood glucose level = 445mg/dl
- Blood pH level = 7.1
- HgbA1C =9.5%
- Urine tested positive for glucose and ketones.
Based on the scenario above, what type of diabetes does Oliviahave?
What complication has she developed? What is the likelytreatment?
Olivia’s blood test is found to have a glycosylated hemoglobinlevel (Hgb A1C) of 9.5%. What additional information does this testprovide that a one-time measurement of blood glucose doesn’t? Whatis the normal range for glycosylated hemoglobin?
List two additional signs and symptoms of hyperglycemia Oliviadid not show.
