A 3-year-old girl has just been diagnosed with type 1A diabetes. Her parents are currently receiving education from the diabetes education nurse
How can the nurse best explain to the parents the etiology (cause) of their daughter's diabetes?
A)
"The problem that underlies her diabetes is that her own body has destroyed the cells in her pancreas that produce insulin."
B)
"It's not known exactly why your daughter has completely stopped making insulin, and treatment will consist of your rigidly controlling her diet."
C)
"This tendency to produce insufficient amounts of insulin is likely something that she inherited."
D)
"Environmental and lifestyle factors are known to play a part in the fact that her pancreas secretes and withholds insulin at the wrong times."
Ans:
A
Feedback:
Type 1A, or immune-mediated, diabetes involves the autoimmune destruction of pancreatic beta cells and a consequent absolute lack of insulin. Exogenous insulin required as dietary control alone is insufficient. The central problem is an absolute lack of insulin production rather than deranged release.
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