08-08-2015, 06:45 PM
A 38-year-old man with a 3-year history of type 2 diabetes mellitus comes to the physician for a follow-up examination. In addition to taking an oral antihyperglycemic agent. he has tried controlling his condition with diet modifications and exercise. He is 188 cm (6 ft 2 in) tall and weighs 113 kg (250
lb); BMI is 32 kg/m3. Physical examination shows no other abnormalities. His hemoglobin A1c is 10%. The physician recommends initiation of insulin injections to obtain better control over the patient's blood glucose concentration. The patient responds. "l know that insulin would help control my blood
sugar. But a lot of people in my family have diabetes. and insulin made them really sick at times." This patient is most likely at which of the following stages of change regarding insulin administration?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
E) Maintenance
lb); BMI is 32 kg/m3. Physical examination shows no other abnormalities. His hemoglobin A1c is 10%. The physician recommends initiation of insulin injections to obtain better control over the patient's blood glucose concentration. The patient responds. "l know that insulin would help control my blood
sugar. But a lot of people in my family have diabetes. and insulin made them really sick at times." This patient is most likely at which of the following stages of change regarding insulin administration?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
E) Maintenance