Recognizing that the audience for his speech would be packed into a non air conditioned gymnasium during the hottest week of the year, kane decided to keep his speech at the low end of his 10 ro 15 minute time limit. In making decisions, kane was adapting to which element of the speech communication process

You can write out the letter, but it should specify: the patient hasn't been controlling their diabetes bc glucose and ketones spilling into the urine. also, the positive nitrite could indicate a u.t.i. infections can cause hyperglycemia in a diabetic. also the reverse, uncontrolled blood sugar can lead to glycosuria, which is a good nidus for bacteria to grow from sugar in urine, leading to a uti.