The nurse teaching a type 2 diabetic client how to manage the disease while on a prescribed diet and taking an oral antidiabetic agent would recognize that the client has an accurate understand-ing of diabetes management when the client states
a. "I can use oral medications as long as my pancreas can still produce insulin."
b. "I must decrease my total daily fat intake to less than 45% of my total calories."
c. "I must exercise at least 1 hour daily to help bring down my sugar."
d. "I'm really happy I can take insulin pills; it's much easier than an injection."
A
Oral antidiabetic agents are not insulin and can work only if the pancreatic beta cells are able to produce insulin. Oral hypoglycemic agents are effective in clients with type 2 diabetes after nu-trition and exercise therapy have failed. Clients should exercise for 20 to 45 minutes at the de-sired heart rate at least three times a week. The general recommendation for the U.S. population is to decrease total dietary fat to 30% or less of total calories.
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