Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10" WT: 178 Hemoglobin A1c 9%
-What is likely the cause of JK's low blood sugar at 8 pm?

Question

Case Study
JK is a 19 yo M college student with T1DM.He is away from home and is reportedly drinking and eating poorly.His school schedule is erratic so he eats at all different times of the day.He currently takes an extended long-acting analogue insulin once per day.Around 8 pm, his blood sugars are falling very low.
HT: 5'10"       WT: 178      Hemoglobin A1c 9%
-What is likely the cause of JK's low blood sugar at 8 pm?

Quizplus · Accepted Answer

The erratic eating schedule causing mismatch with insulin peak and timing is the likely cause of low blood sugar at 8 pm. Option A is incorrect as too high insulin dosage typically causes hypoglycemia at other times as well, not just at 8 pm. Option B is not likely as poor dietary habits would typically result in elevated blood sugar levels rather than hypoglycemia. Option D is also incorrect as low blood sugar is not desirable and can lead to serious complications. JK's erratic eating schedule means that the timing and peak of his insulin injection are not matching his intake, resulting in low blood sugar at 8 pm. Option A is incorrect as high insulin dosage would lead to consistently low blood sugar, not just at 8 pm. Option B is also incorrect as poor eating habits would result in high blood sugar, not low blood sugar. Option D is clearly incorrect as low blood sugar is dangerous and can lead to hypoglycemia.

Case Study JK Is a 19 Yo M College Student with T1DM.He