The 30-year-old woman whose father has type 1 diabetes mellitus asks the nurse what her chances are of developing diabetes because of her father's disease. What is the nurse's best response?
A. "You have a greater susceptibility for developing the disease, with a 1 in 20 to a 1 in 50 chance."
B. "Your risk is the same as the general population, because there is no genetic risk for development of type 1 diabetes."
C. "Type 1 diabetes is inherited in an autosomal dominant pattern. Therefore, the risk for becoming diabetic is 50%."
D. "Because you are a woman and your father is the parent with the diabetes, your risk is not increased for eventual development of the disease; however, your brothers will become diabetic."
A
Although type 1 diabetes does not follow any specific genetic pattern of inheritance, clients who have one parent with type 1 diabetes are at an increased risk for development. The incidence of diabetes in people who have a parent with type 1 diabetes ranges between 1 in 20 to 1 in 50, compared with 1 in 400 to 1 in 1000 in people who do not have one parent with type 1 diabetes.
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