The nurse is assessing a patient who has a family history of type 2 diabetes mellitus. Which finding would require follow-up by the nurse?
1. a new prescription for levothyroxine (Synthroid) for hypothyroidism
2. decreased waist-to-hip ratio through dietary changes
3. delivery of a baby that weighed 8 pounds and 12 ounces
4. a fasting blood glucose level of 89 mg/dL
Correct Answer: 1
Many drugs, including thyroid hormone, impair insulin secretion, precipitating DM in people with predisposing insulin resistance. Decreasing the waist-to-hip ration, delivering a baby that weighted 8 lbs. and 12 ounces, and having a fasting blood glucose level of 89 are all desirable findings for the patient with a family history of type 2 diabetes mellitus.
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