A Patient with Type 1 Diabetes Is Taking NPH Insulin

question 5

Multiple Choice

A patient with type 1 diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol [Lopressor]. What education should the nurse provide to the patient?

• A) "Metoprolol has no effect on diabetes mellitus or on your insulin requirements."
• B) "Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose."
• C) "Metoprolol may mask signs of hypoglycemia, so you need to monitor your blood glucose closely."
• D) "Metoprolol may potentiate the effects of the insulin, so the dose should be reduced."

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