C. Cindy is started on the following schedule of insulin dosing: L morning dose

Question

C. Cindy is started on the following schedule of insulin dosing: L morning dose 8 units of NPH insulin and 4 units of regular insulin L supper dose 4 units of regular insulin 1 bedtime dose 5 units of NPH insulin L total dose per day 21 units Three days later, she returns to the doctor's office for a review of her blood-glucose readings and a measurement of her fasting blood-glucose level, which is found to be 95 mg/dl. Most of her glucose readings during the day have been in the low- to mid-100 range. Her glucose levels before supper, however, are in the upper 200s. 8. What happens if she fails to take the insulin? What is used as a source of energy? What are the by products of this secondary nutrient? Docs the blood become more acid or base? (4 points) 9. What type of Acidl base imbalance has occurred? (Name it, page 1008-1009 in text book) What compensatory mechanism is used to reestablish the correct blood pH? (4points)

Explanation / Answer

8. If she doesn't take insulin then Glucose will not be utilized and she will develop Hyperglycemia.

9. Metabolic Acidosis.

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