Select the correct answer: A young adult with a 2-year-hist…
Select the correct answer: A young adult with a 2-year-history of type 1 diabetes managed with insulin pump therapy presents for a wellness exam. During the course of the exam, the patient reports symptoms of abdominal discomfort that is associated with bloating for the past 6-12 months. The symptoms are accompanied by increased flatulence. Stools have an oily appearance. The patient has not noted bloody stools. The patient also reports blister-like skin lesions that are itchy on the hands, arms, and abdomen. The patient experienced an unintentional weight loss of 10 pounds over the past 2 months and feels constantly fatigued. Physical exam reveals a thin, frail-looking adult. Abdominal distention is noted on exam and slightly hyperactive bowel sounds. The abdomen has generalized tenderness. Herpatic-like lesions are noted on her hands, arms and abdomen. Lab findings show a evidence of a hypochromic, microcytic anemia. While addressing dietary considerations associated with diabetes, what other clinical recommendations should be provided to this patient?
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