John is a 9-year-old recently diagnosed with type 1 diabetes. He was referred to the diabetic nurse educator to learn more about diabetes and how to inject him with insulin
During the class he asks the nurse why he can't take oral medication instead of giving himself injections. The best response from the nurse would be: 1. "Medications available in pill form only work if your body makes some insulin, and in type 1 diabetes the cells that make insulin do not work.".
2. "Medications available in pill form can be used for type 1 diabetes if the treatment is started early enough in the disease.".
3. "The type of medication you need depends on your blood sugar levels, and yours meet the criteria for insulin.".
4. "Younger clients diagnosed with diabetes are prescribed insulin because it is long lasting and easier to keep track of than pills.".
1
Rationale: Medication available in pill form works with the endogenous insulin that is present in the body. Type 1 diabetics are always treated with insulin because their bodies do not have a supply of endogenous insulin. Types of insulin with a range of rapid acting to long acting are available and can be prescribed alone or in combination according to the metabolic needs of the individual. Age at diagnosis does not affect the type of treatment used for type 1 diabetes.
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