The nurse is preparing patients newly diagnosed with diabetes mellitus (DM) for discharge from an acute care facility. What should the nurse include in patient teaching regarding medications to treat DM?
1. Patients with type 1 diabetes may achieve normal blood glucose levels with oral medications.
2. Type 1 diabetes may progress to type 2 if blood glucose levels are not well controlled.
3. Patients with type 1 diabetes will always need an exogenous source of insulin.
4. Patients with type 2 diabetes generally need a combination of oral medications and insulin to achieve normal blood glucose levels.
3
Rationale 1: People with type 1 DM must have insulin.
Rationale 2: Patients with diabetes do not progress from type 1 to type 2.
Rationale 3: The person with type 1 DM requires a lifelong exogenous source of insulin to maintain life.
Rationale 4: Patients with type 2 DM are usually able to control glucose levels with an oral hypoglycemic medication, but they may require insulin if control is inadequate.
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