QuestionJune 14, 2025

A father comes to your office with his 16-year-old son. The boy has been diagnosed with type 1 diabetes mellitus and has received nutritional counseling. He is on a conventional split dose regimen, but the patient's blood sugar is still seemingly uncontrolled. The father tells you that, when his son wakes up, the child's blood sugar is extremely elevated . Which of the following should you advise the father to do first to help diagnose or treat the cause? Reduce or eliminate the dose of nighttime insulin. Add or increase the dose of nighttime insulin. Test the child's blood sugar at 3 a.m. Get an oral antidiabetic.

A father comes to your office with his 16-year-old son. The boy has been diagnosed with type 1 diabetes mellitus and has received nutritional counseling. He is on a conventional split dose regimen, but the patient's blood sugar is still seemingly uncontrolled. The father tells you that, when his son wakes up, the child's blood sugar is extremely elevated . Which of the following should you advise the father to do first to help diagnose or treat the cause? Reduce or eliminate the dose of nighttime insulin. Add or increase the dose of nighttime insulin. Test the child's blood sugar at 3 a.m. Get an oral antidiabetic.
A father comes to your office with his 16-year-old son. The boy has been diagnosed with type
1 diabetes mellitus and has received nutritional counseling. He is on a conventional split dose
regimen, but the patient's blood sugar is still seemingly uncontrolled. The father tells you that,
when his son wakes up, the child's blood sugar is extremely elevated . Which of the following
should you advise the father to do first to help diagnose or treat the cause?
Reduce or eliminate the dose of nighttime insulin.
Add or increase the dose of nighttime insulin.
Test the child's blood sugar at 3 a.m.
Get an oral antidiabetic.

Solution
4.5(184 votes)

Answer

Test the child's blood sugar at 3 a.m. Explanation 1. Identify the Problem The boy's blood sugar is extremely elevated in the morning, indicating possible dawn phenomenon or Somogyi effect. 2. Determine Diagnostic Action Testing blood sugar at 3 a.m. helps differentiate between dawn phenomenon (normal or high 3 a.m. reading) and Somogyi effect (low 3 a.m. reading).

Explanation

1. Identify the Problem<br /> The boy's blood sugar is extremely elevated in the morning, indicating possible dawn phenomenon or Somogyi effect.<br /><br />2. Determine Diagnostic Action<br /> Testing blood sugar at 3 a.m. helps differentiate between dawn phenomenon (normal or high 3 a.m. reading) and Somogyi effect (low 3 a.m. reading).
Click to rate:

Similar Questions