When a newly diagnosed type 2 diabetes mellitus patient asks the nurse why she has to take a pill instead of insulin, you reply that in type 2 diabetes, the body makes insulin but:
1. overweight and underactive people simply cannot use the insulin produced.
2. metabolism is slowed in some people so they have to take a pill to speed up their metabolism.
3. sometimes the autoimmune system works against the action of the insulin.
4. the cells become resistant to the action of insulin. Pills are given to increase the sensitivity.
4
Type 2 diabetes mellitus is a disease in which the cells become resistant to the action of in-sulin and the blood glucose level rises. Oral hyperglycemic agents make the cells more sen-sitive.
PTS: 1 DIF: Cognitive Level: Application REF: 1002
OBJ: 6 TOP: Type 2 Diabetes
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
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