A patient at risk for the development of type 2 diabetes mellitus asks why weight loss will reduce risk of the condition. Which response by the nurse is most accurate?

1. "The amount of foods taken in require more insulin to adequately metabolize them, resulting in diabetes."
2. "Excess body weight impairs the body's release of insulin."
3. "Thin people are less likely to become diabetic."
4. "The physical inactivity associated with obesity causes a reduced ability by the body to produce insulin."


Correct Answer: 2
Beta cells of the body release insulin. Their actions are hindered as the amount of adipose tissue in the body increases. The amount of food ingested does not mean that diabetes will develop because more insulin is needed to process the food eaten. While obesity is a risk factor for the development of diabetes, this does not answer the patient's question. Inactivity is directly linked to obesity, but it does not present a direct tie to the production of insulin.

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