Question

A 16-year-old client newly diagnosed with type 1 diabetes has a very low body weight despite eating regular meals. The client is upset because friends frequently state, "You look anorexic." Which statement by the nurse would be the best response to help this client understand the cause of weight loss due to this condition?
a) "Your body is using protein and fat for energy instead of glucose."b) "I will refer you to a dietician who can help you with your weight."c) "You may be having undiagnosed infections causing you to lose extra weight."d) "Don’t worry about what your friends think; the carbohydrates you eat are being quickly digested, increasing your metabolism."

Answer 1

Answer:

a) "Your body is using protein and fat for energy instead of glucose."

Explanation:  

Persons with type 1 diabetes, particularly those in poor control of the condition, tend to be thin because when the body cannot effectively utilize glucose for energy (no insulin supply), it begins to break down protein and fat as an alternate energy source. Patients may be underweight at the onset of type 1 diabetes because of rapid weight loss from severe hyperglycemia. The goal initially may be to provide a higher-calorie diet to regain lost weight and blood glucose control.

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