A patient tells the nurse that there is no history of diabetes in the family and even though she has always tried to keep her blood glucose level on the "low side" she still developed diabetes
Which of the following should the nurse explain to the patient? 1. There is no way to stop the development of diabetes.
2. Body weight will determine if a person develops diabetes or not.
3. Diabetes develops when a person takes certain medications that cause the disease to develop.
4. Having low blood glucose levels over a long period of time can cause one hormone from the brain to tell the body to hold onto glucose when it's low, so over time diabetes can develop.
4
Rationale: When the serum glucose level drops below the normal range, the sympathetic nervous system is stimulated. Pituitary growth hormone and cortisol both respond to prolonged periods of hypoglycemia. Growth hormone decreases the body's ability to use carbohydrates, which spares them as an energy source. Oversecretion of growth hormone can lead to glucose intolerance and the development of diabetes. This is what the nurse should explain to the patient. It would be inaccurate for the nurse to tell the patient that there is no way to stop the development of diabetes or that body weight determines if a person develops diabetes or not. Diabetes does not develop when a person takes certain medications that cause the disease to develop.
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