You are a pediatric nurse who volunteers one night aweek in a free clinic that serves homeless youth. An adolescentapproaches you and says that his cousin, age 8, just was diagnosedwith diabetes. He stated he doesn't understand why she has to checkher blood sugar and get shots twice a day when his father can takea pill. Explain the difference between type 1 and type 2 diabetesand the different mechanisms of action of insulin and of oralantidiabetic agents. Explain why different routes of administrationmust be used. Also explain why adherence to the medication regimenand normalization of blood sugar is critical for an 8 year old.Suggest strategies for him to support his cousin as she copes witha newly diagnosed chronic disease.
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