Endocrine Question #15
A nurse works in a walk-in clinic. What client is at a greater risk for the development of Type 2 diabetes? (Select all that apply)
- Client with low blood pressure and heart rate
- Native Hawaiian client with family history of diabetes
- Client with polycystic ovary syndrome
- Client with body mass index of 22
Native Hawaiians are twice as likely to develop diabetes as other ethnic groups living in Hawaii and four times more likely to die of stroke. Having a genetic familial factor would further increase risks for developing diabetes. Client with polycystic ovary syndrome (PCOS) are at risk of developing diabetes because of the hyperangrogenic effects and insulin resistance. Obesity in females with PCOS further increases the risks for diabetes. Answer A and D are not factors that indicate risks for Type 2 diabetes. Diabetes and heart disease, which includes hypertension (NOT hypotension) may be related. Obesity also plays a role and the BMI in the answer selection of 22 is within range of healthy weight. BMI > 25 and higher indicates overweight, while BMI of > 30 signifies obesity, and may play a role in development of Type 2 diabetes.