After following a structured diet, a patient diagnosed with ...

[Jipu 123]

After following a structured diet, a patient diagnosed with diabetes mellitus is surprised to learn that his blood glucose levels have decreased and oral medications are no longer required.
 
  What explanation regarding the impact of diet on diabetes management should the nurse give the patient?
 
  1. Less body mass means less insulin is needed to maintain constant glucose levels.
  2. Body mass reduces cellular resistance to insulin.
  3. Reduced dietary intake of carbohydrates is responsible for the weight loss.
  4. Reduced dietary intake results in a reduced need for insulin.

Question 2

A patient diagnosed with obesity asks about the appetite suppressant phentermine to assist with a weight loss program. Which information in the patient's health history might restrict the patient's ability to take this medication?
 
  1. frequent use of alcohol
  2. history of narcolepsy
  3. a family history of thrombophlebitis
  4. a body mass index of 31 kg/m2

[Sammyo]

Answer to Question 1

Correct Answer: 1
Insulin is needed by the body cells to facilitate glucose transport across cell walls. The greater the body's mass, the increase in likelihood the body's cells will become resistant to insulin. This will result in type 2 diabetes. The more mass in the body, the greater the resistance of the body's cells to insulin. The patient has reduced the amount of carbohydrates eaten to lose weight, but this response does not explain the patient's surprise in learning about the change in medication needs. The reduction in size has resulted in a lower body glucose level in response.

Answer to Question 2

Correct Answer: 1
Alcohol use or abuse can be a contraindication for this medication. The medication could cause insomnia but is not contraindicated for narcolepsy. A patient's personal history for the development of cardiovascular problems could indicate an inability to take the medication. The choice regarding the family's health history is not applicable. Phentermine is indicated for body mass index greater than 30 kg/m2.