Biology
12th Edition
ISBN: 9780134813448
Author: Audesirk, Teresa, Gerald, Byers, Bruce E.
Publisher: Pearson,
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Chapter 38.3, Problem 5TC
Summary Introduction
To determine: The way in which the test results vary between a normal and a person with diabetes in the given condition.
Introduction: Diabetes mellitus is a
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A doctor has three patients who he suspects may be diabetic. On two occasions, each patient was administered a sugar test (i.e., was asked to consume a very sugary beverage) and their blood sugar levels were monitored for 120 minutes according to the graphs shown below.
a) Which of the three patients does not have diabetes? How do you know?
b) Which of the three patients has Type I diabetes? How do you know?
c) Which of the three patients has Type II diabetes? How do you know?
You are an endocrinologist in a Diabetes Centre, and a 38 year-old person who has no signs (symptoms) for diabetes arrived to your clinic, but when you checked his fasting blood sugar (FBS) level, it was 132 mg/dL (7.3 mmol/L).
Based on these results, does this result indicate normal blood glucose? Explain
What should you then do for/ recommend this person?
Can any of these urine tests definitively diagnose diabetes? Why or why not? If not, why would a doctor even order a urinalysis? Explain in your own words, do not copy and paste from google.
test are:
Tests
Leukocytes
Nitrite
Urobilinogen
Protein
pH
Blood
Specific G.
Ketone
Bilirubin
Glucose
Chapter 38 Solutions
Biology
Ch. 38.1 - describe the four methods of communication between...Ch. 38.1 - Prob. 2CYLCh. 38.1 - Prob. 3CYLCh. 38.2 - Insulin is a large, water-soluble hormone that...Ch. 38.2 - Prob. 1CYLCh. 38.2 - Prob. 2CYLCh. 38.2 - explain the processes of negative and positive...Ch. 38.3 - A common test of thyroid gland function is to...Ch. 38.3 - Prob. 2TCCh. 38.3 - Prob. 3TC
Ch. 38.3 - Prob. 1HYEWCh. 38.3 - Endocrine disruptors have most frequently been...Ch. 38.3 - Prob. 1CYLCh. 38.3 - explain how negative feedback regulates the...Ch. 38.3 - Prob. 5TCCh. 38 - Prob. 1MCCh. 38 - Prob. 2MCCh. 38 - Steroid hormones include a. testosterone. b....Ch. 38 - Prob. 4MCCh. 38 - Prob. 5MCCh. 38 - Prob. 1FIBCh. 38 - Most endocrine hormones fall into three chemical...Ch. 38 - Prob. 3FIBCh. 38 - Prob. 4FIBCh. 38 - The pancreas releases the hormone _________ when...Ch. 38 - Prob. 6FIBCh. 38 - The adrenal cortex releases three major types of...Ch. 38 - Which chemical class of hormones usually attaches...Ch. 38 - Prob. 2RQCh. 38 - Prob. 3RQCh. 38 - Prob. 4RQCh. 38 - Prob. 5RQCh. 38 - Prob. 6RQCh. 38 - A student rescan, her decides to perform an...Ch. 38 - Prob. 2AC
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- Select the FOUR statements below that describe a patient who does not require insulin injections (insulin independent). Beta cells secrete insulin in response to increased blood glucose levels. Beta cells secrete insulin in response to decreased blood glucose levels. Urine samples indicate high levels of glucose. Urine samples indicate no glucose. Muscle, liver cells, and adipose tissue are permeable to glucose. Muscle, liver, cells and adipose tissue are impermeable to glucose. Water excretion is normal. Extra water is excreted.arrow_forwardAs a new, professional Laboratory Scientist, how do you think diabetes, regardless of kind or origin, is initially screened for or ruled out in clinical practice? Could you provide a list of common laboratory tests and explain why they are requested?arrow_forwardIn a Diabetes Centre, you are an endocrinologist, and a 38-year-old person who has no symptoms of diabetes arrived at your clinic, but when you checked his fasting blood sugar (FBS) level, it was132 mg/dL (7.3 mmol/L). Based on these results, does this result indicate normal blood glucose?What should you then do for recommend this person?arrow_forward
- Edward and Ariana were provided with injectable insulin. What would be the expected changes in the blood and urine glucose composition if they were injected with insulin? Control Edward Taylor Ariana Perry Presence of Sodium in Urine Blue Blue Orange Blue Blue Presence of Ketone in Urine Pale Pink Pink Pale Pink Pale Pink Pale Pink Urine Glucose Levels (mmol/L) 0.0 1.0 0.0 0.0 1.0 Blood Glucose Levels (mmol/L) 5.6 8.4 5.2 6.1 9.6 Additional Note None Sweet smelling urine None Large urine output Sweet smelling urinearrow_forwardRead the following paragraph and answer the following questions on your laboratory report sheet. Diabetes is a disease affecting the insulin-producing glands of the pancreas. If there is not enough insulin being produced by these cells, the amount of glucose in the blood remains high. A blood glucose level above 140 mg/dL for an extended period of time is not considered normal and can indicate that a person is diabetic. This disease, if not brought under control, can lead to severe complications and even death. Based on the information, develop a hypothesis relating the level of blood glucose to time. What would your experimental approach be to test this hypothesis?arrow_forwardPatients with either Type 1 and Type 2 diabetes may experience problems if their blood sugar becomes extremely high. This condition is called hyperglycemia. The table below depicts different treatment options to prevent hyperglycemia for patients with Type 1 and Type 2 diabetes and the rationale behind the treatment. Select the row that correctly identifies the treatment for each form of diabetes and explains why the treatment is effective. Select one: a. Type 1 Treatment Type 2 Treatment Reason Lifestyle change - eating better and increasing exercise Insulin monitoring and periodic insulin shot Type 1 can be controlled by managing lifestyle choices, whereas Type 2 is caused by decreased functioning of beta cells and therefore less insulin is produced. b. Type 1 Treatment Type 2 Treatment Reason Beta cell replacement surgery Alpha cell replacement surgery Type 1 involves the reduction of beta cells in the body, whereas Type 2 is caused by decreased functioning of alpha…arrow_forward
- If 80% of diabetic patients are correctly identified by a urine test for glucose, but 30% of non-diabetic patients are false-positives by this test, then the urine test for glucose has: a sensitivity of 70%, and a specificity of 80% a sensitivity of 20%, and a specificity of 30% a sensitivity of 30%, and a specificity of 80% a sensitivity of 70%, and a specificity of 20% a sensitivity of 80%, and a specificity of 70%arrow_forwardSelect the one statement below that describe a patient who does not require insulin injections (insulin independent). Muscle, liver cells, and adipose tissue are permeable to glucose. Muscle, liver, cells and adipose tissue are impermeable to glucose.arrow_forwardSelect the FOUR statements below that describe an individual who does not require insulin injections (insulin independent). Please explain. Beta cells secrete insulin in response to increased blood glucose levels. Beta cells secrete insulin in response to decreased blood glucose levels. Urine samples indicate high levels of glucose. Urine samples indicate no glucose. Muscle, liver cells, and adipose tissue are permeable to glucose. Muscle, liver, cells and adipose tissue are impermeable to glucose. Water excretion is normal. Extra water is excreted.arrow_forward
- The nurse is teaching a diabetic client to self-administer Humulin insulin, supplied in a vial labeled 100 units/mL. The provider has ordered 12 units of Humulin insulin to be taken each morning. How many milliliters of insulin would the client prepare for one dose?arrow_forwardThere are several complications of diabetes that can include ophthalmic, neurologic, vascular, and renal complications. Instructions Choose an example from these types of complications. Explain the combination that you picked and the type of diabetes you chose to code. If you knew that previous versions of ICD required the medical coder to pick a complication first and then separately code what the complication was, then how do you feel combination codes have changed this?arrow_forwardDiscuss the pathology of a condition in which glucose regulation (in the blood and/or urine) presents problems for patients. What causes this condition? How is glucose monitoring accomplished, and how is it indicative of the patient's level of proper biological function? Explain on a cellular level how this glucose imbalance arises. Also explain the science behind the monitoring technique. Most importantly, what measures can be taken by patients to correct for this glucose imbalance in the long term? Why do these measures work?arrow_forward
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