Thursday, June 1, 2023

After taking glipizide (Glucotrol) for 9 months, a male client experiences secondary failure.. Switch the client to a different oral antidiabetic agent



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.