A type 1 diabetic patient has immune mediated or autoimmune disease causing their diabetes, what would you expect as the pathophysiology in this patient?

Question

Group of answer choices

The client has hyperinsulinism.

The patient will have a high C-peptide level.

The patient has destruction of beta cells in the pancreas.

The client has insulin resistance.

Answer 1

In a type 1 diabetic patient, the underlying pathophysiology involves the autoimmune destruction of beta cells in the pancreas. This destruction leads to insufficient insulin production, which is why type 1 diabetes is characterized by hyperglycemia due to a lack of insulin.

Based on the options provided, the correct answer would be:

The patient has destruction of beta cells in the pancreas.

The other options are not appropriate in the context of type 1 diabetes:

• Hyperinsulinism would occur if there was excess insulin, which is not typical in type 1 diabetes.
• A high C-peptide level would indicate high levels of endogenous insulin production, which is not the case in type 1 diabetes since the beta cells are destroyed.
• Insulin resistance is more commonly associated with type 2 diabetes, not type 1 diabetes, where the problem is primarily a lack of insulin.