A 45-year-old patient who is overweight has had a diagnosis of type 2 diabetes for 2 years. The patient uses 20 units of insulin per day. The patient's fasting blood glucose (FBG) is 190 mg/dL
The patient asks the nurse about using an oral antidiabetic agent. The nurse understands that oral antidiabetic agents
a. cannot be used if the patient is overweight.
b. cannot be used once a patient requires insulin.
c. may be used since this patient meets criteria.
d. may not be used since this patient's fasting blood glucose is too high.
ANS: C
Patients who require less than 40 units of insulin per day and who have a fasting blood glucose less than or equal to 200 mg/dL are candidates for oral antidiabetic agents. Being overweight is an indication, not a contraindication.
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