An older woman with diabetes mellitus visits the clinic concerning her condition. Which of the following symptoms might an older woman with diabetes mellitus complain?
A. Anorexia
B. Pain intolerance
C. Weight loss
D. Perineal itching
Correct Answer: D. Perineal itching
Older women might complain of perineal itching due to vaginal candidiasis. In diabetes, blood glucose levels can go abnormally high, which can therefore provide ideal conditions for naturally present yeast to grow and also diminishes the body’s ability to fight infection.
Option A: Researchers estimate that 10–20 percent of girls in their mid-teen years and 30–40 percent of late teenaged girls and young adult women with diabetes skip or alter insulin doses to control their weight. In people with diabetes, eating disorders can lead to poor metabolic control and repeated hospitalizations for dangerously high or low blood sugar.
Option B: Diabetic neuropathy can manifest itself as a mononeuropathy, entrapment syndrome, or distal symmetric polyneuropathy (DSPN), which is the most common subtype. DSPN is defined as a chronic, bilateral, length-dependent sensorimotor neuropathy compromising multiple nerves. For 10 to 26% of people with DSPN, the neuropathy is painful.
Option C: In people with diabetes, insufficient insulin prevents the body from getting glucose from the blood into the body’s cells to use as energy. When this occurs, the body starts burning fat and muscle for energy, causing a reduction in overall body weight. Unexpected weight loss is often noticed in people prior to a diagnosis of type 1 diabetes but it may also affect people with type 2 diabetes.
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