A client at risk for the development of type 2 diabetes mellitus asks why weight loss will reduce risk of the condition. Which of the following responses by the nurse is most correct?
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.".
2. "Excess body weight impairs the body's release of insulin.".
Rationale:
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 taken in is not the issue as much as the excess body weight from taking in excess food. The body does require more insulin with a greater food intake, but that does not necessarily result in diabetes. While obesity is a risk factor for the development of diabetes, this does not meet the question posed by the client. Inactivity is directly linked to obesity, but it does not present a direct tie to the production of insulin.
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