A patient who has type 2 diabetes is on the unit after aneurysm repair. His serum glucose levels have been elevated for the past 2 days. He is concerned that he is becoming dependent on insulin. The best response for the nurse would be
a. "This surgery may have damaged your pancreas. We will have to do more evaluation."
b. "Perhaps your diabetes was more serious from the beginning."
c. "You will need to discuss this with your physician."
d. "The stress on your body has temporarily increased your blood sugar levels."
D
Adrenal hormones released during stress elevate blood sugar by increasing insulin resistance and increasing hepatic gluconeogenesis.
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