The nurse is teaching a patient with diabetes about self-management. What should the nurse include regarding medications to treat diabetes mellitus?
1. Patients with type 1 diabetes may achieve normal blood glucose levels with oral medications.
2. Patients with type 1 diabetes may progress to type 2 if blood glucose levels are not well controlled.
3. Patients with type 2 diabetes will always need an exogenous source of insulin.
4. Patients with type 2 diabetes may achieve normal blood glucose levels with a combination of oral medications and insulin.
Correct Answer: 4
People with type 2 diabetes mellitus are usually able to control glucose levels with an oral hypoglycemic medication, but they may require insulin if control is inadequate. Type 1 diabetes mellitus is not treated with oral medications. The person with type 1 DM requires a lifelong exogenous source of the insulin hormone to maintain life. Patients with diabetes do not progress from type 1 to type 2.
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