An elderly resident with type 2 diabetes has a fasting blood glucose of 245 mg/dL. The nurse understands this indicates which pancreatic dysfunction?
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AInsufficient insulin production or cellular insulin resistance
BExcessive glucagon secretion from alpha cells only
COverproduction of digestive enzymes
DDecreased production of somatostatin
✓ Correct answer: A. Insufficient insulin production or cellular insulin resistanceIn type 2 diabetes, the pancreatic beta cells either do not produce sufficient insulin or the body's cells become resistant to insulin. Elevated fasting glucose indicates inadequate insulin effect, preventing glucose from entering cells for energy use.
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