ANSWER THESE QUESTIONS WITH DETAILS A. Jorge

ANSWER THESE QUESTIONS WITH DETAILS A. Jorge Esperanza is a 35-year-old who has been on insulin therapy since he was diagnosed with type 1 diabetes at age 14. He had been taking twice daily doses of a combination of NPH and regular insulin. However, his healthcare pro- vider has recently switched him to insulin glargine (Lantus) and regular insulin ordered for every morning. 1. How is insulin glargine (Lantus) different from other types of insulin? 2. As the nurse, how will you explain to Jorge the tech- nique of administering these two types of insulin? B. A 28-year-old woman who is pregnant with her first child is diagnosed with gestational DM. She is concerned about the fact that she might have to take “shots.” She tells the nurse at the public health clinic that she does not think she can self-administer an injection and asks if there is a pill that will control her blood sugar. She has heard her grandfather talk about his pills to control his “sugar.” What should the nurse explain to this patient? C. A patient with type 2 diabetes on metformin (Glu- cophage) reports that he takes propranolol (Inderal) for his hypertension. What concerns would the nurse have about this combination of medications? What would the nurse teach the patient?

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