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Answer :
Final answer:
The student's question relates to medical protocol for insulin tolerance testing in insulin-treated drivers, possibly for regulatory compliance related to their driving certification. It demonstrates how blood glucose levels fluctuate in response to administered insulin in individuals with IDDM.
Explanation:
The student's question seems to be related to the medical field, specifically to the management and monitoring of diabetes in individuals who are insulin-treated drivers. The process of an insulin tolerance test is critical when confirming the type of diabetes someone has.
In individuals with Insulin Dependent Diabetes Mellitus (IDDM), hypoglycemia is observed relative to the 0 hour after an insulin injection. This test involves a patient on a high-carbohydrate diet for three days, followed by a fasting blood glucose measurement and administration of a standard dose of insulin to observe the response.
When insulin is administered to a person with IDDM or a normal response to insulin, blood glucose levels fall within one hour due to glucose utilization by cells facilitated by insulin. Then, due to secretion of glucagon, glucose levels rise back to fasting levels and return to normal within approximately 2.5 hours. This indicates that the individual has a normal insulin response or has IDDM that is responsive to insulin treatment.
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