A nurse has provided education regarding type 2 diabetes mellitus to a newly diagnosed client. Which statements would the nurse interpret as indicating need for additional education?
1. "Well, at least the medications I will be on will help me lose weight."
2. "I can take an oral medication and will never have to inject myself."
3. "I can increase my body's ability to use the insulin I make by exercising regularly."
4. "I have several lifestyle changes to make."
5. "I don't run the risk of blindness and kidney disease like type 1 diabetics."
1,2,5
Rationale 1: Some of the medications used for type 2 diabetes cause weight gain.
Rationale 2: As type 2 diabetes progresses, the cells that produce insulin may fail, causing the need for insulin. Some medications especially designed to treat type 2 diabetes are injected.
Rationale 3: The activity of insulin receptors can be increased by physical exercise.
Rationale 4: Lifestyle changes can help the type 2 diabetic avoid complications.
Rationale 5: If type 2 diabetes is poorly managed, these complications can occur.
Global Rationale: Some of the medications used for type 2 diabetes cause weight gain. As type 2 diabetes progresses, the cells that produce insulin may fail, causing the need for insulin. Some medications especially designed to treat type 2 diabetes are injected. If type 2 diabetes is poorly managed, these complications can occur. The activity of insulin receptors can be increased by physical exercise. Lifestyle changes can help the type 2 diabetic avoid complications.
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