A patient in his mid-30s has received a diagnosis of type 2 diabetes. Following his diagnosis, he has been meeting with a nurse regularly as well as performing extensive online research
Which of the patient's statements should prompt the nurse to perform further teaching? A) "I don't like getting this diagnosis, but I know that treatment now can prevent future health consequences."
B) "I'm disappointed, but I take some solace in the fact that I won't ever have to have insulin injections."
C) "People always tried to encourage me to lose weight, and I suppose they might have been right."
D) "From what I've learned, I know that the basic problem is that my pancreas can't keep up with my insulin needs."
B
Feedback:
Among people with type 2 diabetes, 20% to 30% require exogenous insulin at some point in their lives. Obesity is a major cause, and vigilant treatment can prevent future sequelae. The essence of type 2 diabetes is the pancreas' inability to meet insulin needs.
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