common in insuin-dependent diabetics. Dead-in-bed syndrome, however, is very rare. What causes it? One hypothesis is that when the blood glucose drops too far, the heart ceases to beat effectively. For this raason, a diabetic on insulin will carefully monitor blood glucose and watch for any signs of hypoglycemia. The insulin dosage before going to bed may be lower than during the day. Part G – Clinical Judgment Joe is becoming more confused and uncoordinated. When he tries to get up to leave the examination room, he stumbles and falls down. He is semiconscious and breathing even more heavily. One of the aides says he needs some orange juice, right away. “That’s just the wrong thing to do,” the doctor answers. “Don’t you see his heavy breathing and smell the ketones on his breath? Give him the insulin, start” Who is right? Choose the best answer. View Avallable Hint(s) The aide is right. Hypoglycemia could kill Joe. He needs some sugar right away. The doctor is right – Joe’s plasma glucose is elevated, so he cannot have hypoglycemia. Either of them could be right, because both hypoglycemia and ketoacidosis can happen in diabetics. They are both wrong, because insulin and sugar have nothing to do with ketoacidosis.
[Verified Answer]: common in insuin-dependent diabetics
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