A 15-year-old girl with type 1 diabetes since the age of nine attends the clinic with her father. Her glycated…

Question

A 15-year-old girl with type 1 diabetes since the age of nine attends the clinic with her father. Her glycated haemoglobin has risen steadily over 12 months. Her downloaded meter shows almost no readings between 8 am and 4 pm on school days but good readings and good control at weekends and in the holidays. She is growing normally, has no ketosis and denies illness. When her father steps out she says she will not inject in front of her friends and that the sick bay is locked at lunchtime. Which…

Accepted Answer

Arrange a diabetes educator review of her regimen

Answer

Arrange psychology review for possible depression

Answer

Ask her father to supervise the lunchtime dose

Answer

Explain the long-term risks of poor control

Answer

Increase her evening basal insulin dose

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