A 19-Year-Old Female with Type 1 DM Was Admitted to the Hospital

question 22

Multiple Choice

A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 milligrams per deciliter (high) , urine glucose and ketones 4+ (high) , and arterial pH 7.20 (low) .Her parents state that she has been sick with the "flu" for a week.Which of the following statements best explains her acidotic state?

• A) Increased insulin levels promote protein breakdown and ketone formation.
• B) Her uncontrolled diabetes has led to renal failure.
• C) Low serum insulin promotes lipid storage and a corresponding release of ketones.
• D) Insulin deficiency promotes lipid metabolism and ketone formation.

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Definitions:

Cheese Flavoring

Substances added to cheese or cheese products to enhance or alter flavor, which can include natural enzymes, bacterial cultures, or artificial compounds.

Soybean Fermentation

A process involving the breakdown of soybeans by microorganisms or enzymes, resulting in products like soy sauce and tempeh.

Ascomycete

A member of a large group of fungi characterized by the formation of spores in special sac-like structures called asci.

Zygomycete

Members of the Zygomycota, a phylum of fungi, known for their fast-growing molds, reproductive zygosporangia, and life cycles that include both sexual and asexual reproduction.