Jeckyll, a 46-Year-Old Hotelier, Has Been Diagnosed with Type 2

Multiple Choice

Jeckyll, a 46-year-old hotelier, has been diagnosed with type 2 diabetes and needs to begin daily medications and blood glucose monitoring. Mr. Jeckyll's response was, "This is not possible. How can I have diabetes when I'm not sick?" What is the most appropriate response by the nurse?

A) "Type 2 diabetes has a latent period when blood glucose levels are very high, but the body has not experienced enough deterioration to make you very ill."
B) "You are in denial, which is preventing you from experiencing many of the symptoms."
C) "Type 2 diabetes is often asymptomatic and the best way to understand the body's actual response to managing glucose is to monitor your blood sugar at home for a period of time."
D) "Patients with newly diagnosed diabetes are often very ill with nausea, vomiting, weight loss, and confusion, along with thirst and frequent urination. You should feel encouraged that you have few symptoms."