The mother of a 4-year-old boy states, "I can't believe my son has type 1 diabetes. We eat well and I was so careful during the pregnancy. What could have caused this?" How should the nurse respond?
1. "There must have been something you were exposed to during your pregnancy that caused it."
2. "Are there others in your family that have type 1 diabetes?"
3. "He must have been allowed to eat too much sugar."
4. "We are not certain what causes type 1 diabetes."
5. "It is thought to be a combination of factors."
Correct Answer: 2,4,5
Rationale 1: There is no known factor that would cause type 1 diabetes if the mother was exposed.
Rationale 2: There is a genetic factor associated with type 1 diabetes.
Rationale 3: This is not a therapeutic statement and supports the urban myth that diabetes is caused by sugar ingestion.
Rationale 4: The specific factors that cause Type 1 diabetes are still undiscovered.
Rationale 5: It is thought that type 1 diabetes is caused by a number of interrelated factors.
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