NCLEX Practice Questions: Adult diabetes (Psychosocial integrity)

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Question:

Which best describes how high stress level can impact diabetes management?

Answer:

A) Chronic stress can cause increased levels of blood glucose

Rational:

When stress occurs, such as during emotional stress, infections or a serious illness, the body releases specific hormones, including adrenaline, glucagon, growth hormone and cortisol. Blood sugar levels rise to prepare for ‘fight to flight’, and insulin production decreases to ensure the sugar is readily available for energy. This is counter-productive in the diabetic client, because as blood glucose levels rise, the client must take increasing amounts of insulin to control their glucose level.

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