A nurse is educating a diabetic client about the steps for self-administration of insulin. In which of the following types of diabetes should the nurse inform the client that lifelong insulin administration is essential?
A) Type I diabetes mellitus
B) Type II diabetes mellitus
C) Gestational diabetes mellitus
D) Impaired glucose homeostasis
A
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In type I diabetes mellitus, the insulin deficiency is absolute, so these clients require lifelong insulin administration. Clients with type II diabetes do not require lifelong insulin injections, but they may need insulin for adequate glucose control. Gestational diabetes mellitus occurs only at the time of pregnancy and disappears after childbirth. In an impaired glucose homeostasis condition, a client's glucose levels are above normal, but not high enough to meet the criteria for diabetes; hence, it is not necessary to administer insulin lifelong.
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