The nurse recognizes that the patient understands the primary treatment for type 2 diabetes when the patient states:
A) "A pancreas transplant will provide a cure for my diabetes."
B) "I will take my oral antidiabetic agents when my morning blood sugar is high."
C) "I will follow the weight loss plan designed by the dietitian."
D) "I will make sure I call the diabetic nurse educator when I have questions about my insulin."
Ans: C
Feedback: Insulin resistance is associated with obesity; thus, the primary treatment of type 2 diabetes is weight loss. Oral antidiabetic agents may be added if diet and exercise are not successful in controlling blood glucose levels. If maximum doses of a single category of oral agents fail to reduce glucose levels to satisfactory levels, additional oral agents may be used. Some patients may require insulin on an ongoing basis, or on a temporary basis during times of acute psychological stress. Pancreas transplantation is performed on a limited basis and is often performed in conjunction with kidney transplantation.
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