A Program of Weight Loss and Exercise Is Recommended for a Patient

question 32

Multiple Choice

A program of weight loss and exercise is recommended for a patient with insulin resistance syndrome.When the patient asks why these measures are necessary when she really does not have diabetes,what should the nurse explain?

• A) The high insulin levels associated with this syndrome damage the lining of blood vessels and cause osmotic diuresis.
• B) Although her fasting plasma glucose levels do not indicate diabetes,she has impaired glucose tolerance,which is characteristic of the syndrome.
• C) The liver is inappropriately producing glucose,which will eventually exhaust the ability of the pancreas to produce insulin,and exercise will normalize glucose production.
• D) She has a variety of abnormalities associated with diabetes,which indicate a very high risk for cardiovascular disease,and the onset of diabetes can be delayed or prevented by weight loss and exercise.

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