A patient recently diagnosed with type 1 diabetes mellitus does ...

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A patient recently diagnosed with type 1 diabetes mellitus does not understand why the disease developed because the patient is thin and eats all of the time. What is the most appropriate response by the nurse?
 
  1. Thin people can be diabetic, too.
  2. Your condition makes it impossible for you to gain weight.
  3. Diabetes makes it difficult for your body to obtain energy from the foods you eat.
  4. Your lab tests indicate the presence of diabetes.

Question 2

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.

[janieazgirl]

Answer to Question 1

Correct Answer: 3
The diabetic patient is unable to obtain the needed glucose for the body's cells, due to the lack of insulin. Patients diagnosed with type 1 diabetes mellitus experience polyphagia and are often thin. While the statement about diabetics being thin is correct, it does not answer the patient. It is not impossible for diabetics to gain weight. Although the laboratory tests might indicate the presence of diabetes, it does not meet the patient's needs for teaching.

Answer to Question 2

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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