Vignette #2 Sam Has Been Overweight Since the Eighth Grade

Vignette #2 Sam has been overweight since the eighth grade and has recently been diagnosed with type 2 diabetes. He told his fiancée, Anna, and she is now very worried about Sam and determined to learn as much as possible about this illness. Sam and Anna have found several reputable sites on the Internet and now feel empowered to help Sam reverse his condition. Let's ask several questions to see how much they have learned. What is the main problem that has resulted in Sam's type 2 diabetes?

A) Sam's kidneys don't excrete blood glucose efficiently.
B) A virus has triggered the destruction of pancreatic cells that produce insulin.
C) Sam's gallbladder fails to secrete bile when needed.
D) The cells in Sam's body do not respond to insulin secreted by his pancreas.
E) b and c