Topic: Case Study Nursing pathophysiology of type 1 diabetes and insulin

Case study questions
Question 1
Explain why Zach has been prescribed insulin. Relate to the pathophysiology of type 1 diabetes and insulin
mechanism of action.
Support your answer with academic references.
What does this mean and to be included:
• Outline why they made the diagnoses of Type 1 diagnoses, talk through some of the symptoms
that Zac had.
• What causes Type 1 diabetes. Talk about the about the autoimmune destruction of the beta cells
in the Islets of Langerhans in the pancreas. A detailed section. As much information on the
autoimmune process.
• Talk through because of the auto destruction of the beta cells, that Zac can’t produce any of his
own insulin anymore and talk about when you actually give the insulin as an injection, how is that
going to work. Insulin mechanism of action.
Question 2
Discuss the appropriate timing of NovoRapid insulin administration in relation to food. Relate to the insulin
action profile of NovoRapid, hyperglycaemia and hypoglycaemia.
Support your answer with academic references.
What does this mean and to be included:
• First part of this, you need to correctly identify NovoRapid action profile, so what is the onset of
action, how quickly does it work, what is the peak and duration.
• Then you need to think about when would you give the NovoRapid, before or after a meal? Give
an answer why you would give at this time for.
• Need to link in hypoglycaemia in relation to insulin timing. Briefly outline the cause and definition
of hypoglycaemia and when you are going to give the NovoRapid. Give some of the symptoms of
hypoglycaemia.
• Link in hyperglycaemia what are the causes in relation to timing and how is it defined. No need to
give the symptoms of hyperglycaemia
Question 3
Discuss the rationale for testing Zach’s blood glucose level (BGL) before and after his first NovoRapid
insulin injection in the hospital setting.
Support your answers with academic references.
What does this mean and to be included:
• Include why you would test before giving NovoRapid especially for his first injection in the hospital
and what is the target blood glucose level before meals.
• Why you would test after. When would you test, why at that time, why test after insulin (what is the
benefit), what is the target blood glucose level after.
Question 4
Discuss the daily physical challenges and potential emotional impacts of living with type 1 diabetes that
Zach may experience once he is discharged from hospital.
Support your answers with academic references.
What does this mean and to be included:
• Discuss the daily physical challenges. What does Zac have to do every day to care for his diabetes.
Link it back to his school and work and sports.
• Emotional impact. What would it be like to live with diabetes as a 15 year old. What might Zac be worried about.
• A lot of research in journal articles.
Reference help I was given:
• High quality academic references are current (within 5 years) and specifically relevant to type 1
diabetes or insulin administration
• Include journal articles, textbooks and reports from professional nursing associations such as The
Australian Diabetes Educators Association.
• The Diabetes Australia website and patient information sheets are examples of consumer (general
public) resources and are not considered academic references. Official reports published by
Diabetes Australia for health professionals are considered academic references.

Type of service-Academic paper writing
Type of assignment-Case study
Subject-Nursing
Pages / words-4 / 1000
Number of sources-6
Academic level-Junior (College 3rd year)
Paper format-APA
Line spacing-Double
Language style-AU English

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