The nurse is teaching a client with type 2 diabetes about acute complications. Which teaching point by the nurse is most accurate?
a. Ketosis is less prevalent among obese adults owing to the protective effects of fat.
b. People with type 2 diabetes have normal lipid metabolism, so ketones are not made.
c. Insulin produced in type 2 diabetes pre-vents fat catabolism but not hyperglyce-mia.
d. Oral antidiabetic agents do not promote the breakdown of fat for fuel (lipolysis).
C
Ketosis occurs as a result of fat catabolism when intracellular glucose is unavailable for energy production. The client with type 1 diabetes becomes ketotic because he or she produces no insu-lin, and blood glucose cannot enter the cells. In type 2 diabetes, natural insulin production con-tinues, although at a greatly reduced level. This level is not sufficient to keep blood glucose levels in the normal range but permits just enough glucose to enter cells for energy production, so that fats are not catabolized for this purpose. The other rationales are incorrect.
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