JK is a 19-year-old male college student with T1DM. He stays away from home and does not follow a proper diet. His school schedule is erratic; therefore, he eats throughout the day. Currently, he takes extended long-acting analogue insulin once per day. By 8 P.M., his blood sugar levels start dropping to a very low value. Also, biochemical analysis shows trace amount of ketones in his blood.
Height: 5'10" Weight: 175 pounds Hemoglobin A1C: 9%
-What is the most likely cause of JK's low blood sugar at 8 P.M.?

Question

JK is a 19-year-old male college student with T1DM. He stays away from home and does not follow a proper diet. His school schedule is erratic; therefore, he eats throughout the day. Currently, he takes extended long-acting analogue insulin once per day. By 8 P.M., his blood sugar levels start dropping to a very low value. Also, biochemical analysis shows trace amount of ketones in his blood.
Height: 5'10"        Weight: 175 pounds          Hemoglobin A1C: 9%
-What is the most likely cause of JK's low blood sugar at 8 P.M.?

Quizplus · Accepted Answer

Based on the given information, JK's blood sugar levels start dropping to a very low value by 8 P.M. This could be due to the fact that the timing and peak of his insulin do not match his intake. As he eats throughout the day, his insulin may be peaking earlier than his food is being metabolized, leading to low blood sugar levels later in the day. Therefore, it is important for JK to talk to his healthcare provider about adjusting the timing and dose of his insulin to better match his eating patterns.

JK Is a 19-Year-Old Male College Student with T1DM