A patient who has type 2 diabetes mellitus asks the nurse about taking chromium supplements. The nurse will tell this patient that taking chromium
a. can increase the risk for ketoacidosis.
b. is not recommended for persons with diabetes.
c. may cause hypoglycemia if taken in large doses.
d. should be taken in doses greater than 200 mcg/day.
ANS: C
Large doses of chromium can cause a hypoglycemic reaction in patients taking insulin or oral antidiabetic agents. Normal doses are thought to be helpful in diabetic control. It does not increase the risk for ketoacidosis. The normal dose is 50-200 mcg/day.
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