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Interactive case studies
Case two


Patient background


Step 1 of 7:
Patient background
Additional information
Carry out tests
Patient questionnaire
Treatment regimen
Treatment results
Patient follow-up
References


D is 31 years old and lives in Perugia, Italy. She was diagnosed as having Type 1 diabetes at the age of 12. She works as an executive secretary in a small company, and enjoys her job. She married a year ago, and recently became pregnant. She is 5 feet 6 inches (1.68 metres) tall, and at Week 8 of gestation she weighs 136 lb (62 kg). Her pre-pregnancy weight was 133 lb (60.5 kg).

Patient notes

D's treatment regimen is insulin injections three times per day (regular at breakfast and lunch, premixed equal parts of short- and intermediate-acting insulin at dinner), but the doses are frequently changed according to her variations in food consumption, and unscheduled exercise. The resultant overall glycaemic control is very unstable.

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