A client asks how type 1 differs from type 2 diabetes mellitus. What should the nurse explain to the client?
1. There are insulin antibodies that destroy the beta cells in the pancreas.
2. There is decreased insulin production by the pancreas or cell resistance to the insulin produced.
3. The liver destroys the C-peptide chain of proinsulin produced by the pancreas.
4. The client depends entirely on an outside source of insulin.
Answer: 2
1. In type 1, insulin antibodies destroy the beta cells in the pancreas.
2. Type 2 diabetes mellitus is characterized by a lack of pancreatic insulin production and/or insulin resistance at the cellular level.
3. The liver does not destroy the insulin; it is an autoimmune reaction.
4. In type 1 diabetes mellitus, the client will need an outside source of insulin.
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