Answer:
Billy showed signs of type 1 diabetes.This is because,
1.His dehydration was from polyuria- excessive urination.
2. because of failure of his pancreas to secrete insulin, for cellular utilization of glucose by beta cells- he retains glucose in his blood, and lost a lot of glucose in his urine, thus water follow by osmosis, leading to polyuria causing dehydration.
His urge to replace lost glucose and fluids leads to great thirst polydipsia, another symptoms of type1. However, his drop in weight is because, the solute concentration of blood glucose is high due to lack of insulin.Therefore large amount is lost in the urine, with large volume of fluids leading to drop in weight, and energy because cells lack glucose for biochemical reaction of energy production.
The dehydration leads to sunken eyes, loss of tissue turgor, and low fluid levels results in drop in blood pressure,-Hyportension.
Due to lack of glucose in the blood gluconeogensis sets in. Fats is converted to glucose by the liver to supplement the lost glucose. The major by product of this reaction is a ketone-acetone. This explains the reason for the smell of acetone in his breath.
2, The Test strip indicated large quantity of ketones. above ,3.0mmol/L .This is a confirmation of the Type 1 diabetes mellitus in Billy.As more fats molecules are broken down to glucose.
Explanation:
