After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure.
Which of the following would the nurse expect the physician to do?
- a- Initiate insulin therapy.
- b- Switch the client to a different oral antidiabetic agent.
- c- Prescribe an additional oral antidiabetic agent.
- d- Restrict carbohydrate intake to less than 30% of the total caloric intake.
Answer B.
Many clients (25% to 60%) with secondary failure respond to a different oral antidiabetic agent.Therefore, it wouldn’t be appropriate to initiate insulin therapy at this time.
However, if a new oral antidiabetic agent is unsuccessful in keeping glucose levels at an acceptable level, insulin may be used in addition to the antidiabetic agent.
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Endocrine Disorders