A Program of Weight Loss and Exercise Is Recommended for a Patient

A program of weight loss and exercise is recommended for a patient with insulin resistance syndrome.When the patient asks why these measures are necessary when she really does not have diabetes,what should the nurse explain?

A) The high insulin levels associated with this syndrome damage the lining of blood vessels and cause osmotic diuresis.
B) Although her fasting plasma glucose levels do not indicate diabetes,she has impaired glucose tolerance,which is characteristic of the syndrome.
C) The liver is inappropriately producing glucose,which will eventually exhaust the ability of the pancreas to produce insulin,and exercise will normalize glucose production.
D) She has a variety of abnormalities associated with diabetes,which indicate a very high risk for cardiovascular disease,and the onset of diabetes can be delayed or prevented by weight loss and exercise.