Does his current nutrition support meet his estimated nutritional ...

[penguins]

Does his current nutrition support meet his estimated nutritional needs? If not, determine the recommended changes. Discuss any areas of deficiency and ideas for implementing a new plan.
 
  What will be an ideal response?

Question 2

Rachel's physician explains to Rachel and her parents that Rachel's insulin dose may change due to something called a honeymoon phase. Explain what this is and how it might affect her insulin requirements.
 
  What will be an ideal response?

[Jordin Calloway]

Answer to Question 1

 His current nutrition support does not meet his nutritional needs.
 Increasing the rate to 95 mL/hr would meet his needs.
 If this rate is too high, other formulas higher in caloric density (2 kcal/mL) may be preferable.
 Examples of formulas better suited to the diagnosis include those with added arginine, glutamine, and omega-3-fatty acids.

Answer to Question 2

A honeymoon phase is a term used often with newly diagnosed type 1 DM patients and refers to an unexpected production of endogenous insulin by the -cells of the pancreas. This endogenous insulin production is from the remaining, active -cells that have not yet been destroyed. If this phase does occur, insulin needs will not be as high and the dosage may decrease temporarily.