Diabetes Assignment

Maya Korrapati was diagnosed with T1DM when she was 7 years old, and her appetite suddenly soared.
“She was a skinny little thing,” her mother says, “even though she kept eating and eating and eating. She had six hot dogs one day at a neighbor’s backyard barbecue, and I was so embarrassed. I asked my neighbor, ‘Why didn’t you stop her?’ but they all thought it was cute. It was then that I noticed she was constantly running into the kitchen all day for a drink. I just thought at first it was because—hey, you know—it was summer, after all, and Maya was a very, very active little girl. It was my sister who finally said, ‘Maybe you should just get that checked out. You know why.’ I guess up until then, I was in a kind of denial. So I took her, and, of course, she was diagnosed with T1DM.”
When Maya was first diagnosed, her mother was given instructions on how to administer conventional insulin therapy. Now, however, Maya is starting her freshman year of high school, and she is requesting a switch to an intensive insulin therapy regimen.

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“I’ll be in school all day and going to after-school activities. I’m on the girls’ soccer team and I am determined to make varsity by my sophomore year. So, my eating is going to be kind of weird.”
Her mother clicks her tongue in frustration at this, and the two exchange unhappy looks.
After a pause, her mother says, “I think Maya’s anorexic.”
“What? No! Stop it, Mom. You’re embarrassing me.”
“I’m concerned,” Mrs. Korrapati says.
1. Now that Maya is gaining a little more independence and is spending a little more time away from home, she wants to switch her insulin regimen. What might be her rationale for this? Do you think switching her regimen is a good idea?

2. Mrs. Korrapati suspects that Maya may have an eating disorder. What kinds of signs might the nurse look for to determine whether this is the case?

3. Mrs. Korrapati reports that she and Maya frequently argue about Maya’s involvement in team sports.
“I’d feel better if she’d switch to art or playing a musical instrument. Of all the extracurricular activities you could have chosen,” she says to Maya, “why go with sports when you know you have diabetes?”
Maya becomes resistant when her mother talks like this.
She responds now, “It’s not a death knell, Mom, and I’m good. I want to make varsity and then work for a scholarship. Don’t you always talk about wanting me to get a good scholarship?”
“Not if it makes you sick,” her mother says.
Her mother has to admit that Maya has always been pretty healthy, despite her T1DM; and as far as anyone can tell, she has been responsible about diet, maintaining good blood glucose levels, and managing self-administration. Based on these facts, how should the nurse advise Maya and her mother?

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Must contain at least (2) professional references (recency should be in the last 5 years), one may be the course textbook, properly cited in the current APA format.

Textbook
Dudek, S. G. (2018). Nutrition essentials for nursing practice. (8th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.

SAMPLE SOLUTION

I think that switching Maya’s regimen is a good idea. Her treatment should be tailored to suit her needs, especially now that she wants to be a bit more active by participating in sporting extracurricular activities. Secondly, since she will be spending a lot more time away from home, she needs a regimen that she can easily administer to herself without worrying about getting it | GET AN EXPERT FOR YOUR ASSIGNMENT | new regimen should help her maintain her independence, such that she does not need her mother to remind her when to take her medication….