A patient diagnosed with type 2 diabetes mellitus becomes insulin dependent after a year of therapy with oral diabetes medications. When explaining this change in therapy, the provider will tell the patient
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Pathway-Specific Discussion: In the initial stages of the disease, type 2 diabetes is treated with Metformin only, and insulin is not needed. In later years, insulin treatment is often needed. Explain the progression of the disease, describing the initial role of Metformin as a drug, and the eventual need for insulin. (20 points)
Adi S.
Your patient has been diagnosed with Type I diabetes mellitus, and you are explaining how to administer insulin. Your patient states, "I don't want to do this. My brother-in-law has diabetes, and he just takes a pill and watches what he eats." What is your best response? "Perhaps you can switch to pills and a special diet once your diabetes is under control." "Your relative may have Type II diabetes. People with that condition can make insulin, but their cells don't respond to it properly. Your pancreas doesn't manufacture insulin." "I'll ask the doctor if you can try an oral pill and a low carbohydrate diet before using insulin." "Great. Maybe your relative can give you some tips on how to manage your condition."
Dave K.
James K.
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