A nurse provides discharge teaching to a patient newly diagnosed with type 2 diabetes mellitus. Which of the following patient statements demonstrate accurate understanding of disease management? (SELECT ALL THAT APPLY)
Explanation & Rationale
Rationale: A. Lifestyle modifications such as regular physical activity and weight management improve insulin sensitivity and can significantly help control blood glucose levels in type 2 diabetes. This statement reflects accurate understanding of non-pharmacologic management. B. While many patients with type 2 diabetes initially manage the condition with lifestyle changes and oral medications, insulin may be required if blood glucose is persistently elevated or during times of illness, surgery, or pregnancy. This statement demonstrates a misunderstanding of disease management. C. Regular blood glucose monitoring allows the patient and healthcare team to assess the effectiveness of diet, exercise, and medications and make timely adjustments. This demonstrates accurate understanding of self-management. D. Many patients with type 2 diabetes require oral hypoglycemic agents (e.g., metformin, sulfonylureas, SGLT2 inhibitors) to achieve glycemic control. Recognizing the potential need for medications reflects correct knowledge. E. Nutrition is a cornerstone of diabetes management. Balanced meals, carbohydrate counting, and portion control help prevent blood glucose spikes and support overall health. This statement demonstrates understanding of dietary management strategies.