Final answer:
Evidence that the amount of insulin is inadequate for a patient with type 1 diabetes mellitus would include high blood glucose levels, symptoms of hyperglycemia, and frequent monitoring showing persistent elevated glucose despite insulin injections
Step-by-step explanation:
An adult female client with type 1 diabetes mellitus is receiving 35 units of NPH insulin. If a registered nurse (RN) needs to document evidence that the amount of insulin is inadequate, they would typically look for signs of high blood glucose levels. This is because in type 1 diabetes, the pancreas cannot produce sufficient insulin, which is the hormone necessary to uptake sugar (glucose) from the blood into the cells to maintain energy and operate normally. Without enough insulin, blood glucose levels remain high.
The signs suggesting inadequate insulin dosage may include symptoms like increased thirst, frequent urination, fatigue, and high blood sugar readings despite insulin administration. For individuals with type 1 diabetes, insulin injections are critical and must be adjusted accurately to avoid hyperglycemia and its complications. Monitoring blood glucose levels frequently is crucial for managing type 1 diabetes effectively. A consistent reading of high blood glucose levels might indicate that the current insulin regimen is insufficient.