Answered!!
Frankie's mother is concerned when she notices how confused and sleepy Frankie
is. How might Frankie's symptoms be linked to the fact that she hasn't eaten yet
today and may not have taken any insulin? - ANSWERLack of insulin has impaired
her ability to use glucose leading to release of ketone bodies into her bloodstream.
Why does Frankie's mother ask Tom if Frankie is breathing quickly? What is she
most likely suspecting? - ANSWERa reduced value of blood pH (more acidic)
Why was Mitch and Aaron's grandfather so thirsty? - ANSWERHis kidneys were
using extra water to unload glucose from his bloodstream.
Nurse Susan attributed some of the grandfather's problems with hyperglycemia to
his urinary tract infection. How can a urinary tract infection lead to hyperglycemia in
someone with type 2 diabetes? - ANSWERCortisol raises blood sugar levels and he
is insulin-resistant.
The nurse explains to Tom that Frankie entered into ketoacidosis due to missed
insulin injections.
What is the link between lack of insulin and excessive production of ketone bodies? -
ANSWERFats are not able to be funneled into the Kreb's (TCA) cycle.
The nurse explains to Tom that Frankie has to be rehydrated slowly so as to not
drive her blood potassium levels too low. Why are Frankie's potassium levels lower
than normal? - ANSWERFrankie is excreting ketone bodies and needs to also
excrete potassium to balance the charge.
Grandpa was taking Metformin to help manage his blood sugar levels. How does
that medication work? - ANSWERIt reduces intestinal absorption of glucose.
When Grandpa was first assessed when he arrived in Emergency, what would you
have expected his blood pressure and his blood pH to be? - ANSWERBlood
pressure reduced and blood pH normal.
During the video Chris and Sara have a lengthy discussion about his hemoglobin
A1c test results and the level that he should be aiming for. What is considered a
good hemoglobin A1c level for a type 1 diabetic and what are the units? -
ANSWER6.0%
What molecule is formed from glucose in the lens of the eyes of diabetics that can
lead to the development of cataracts? - ANSWERSorbitol.