A nurse is preparing an in-service for a group of clients with a new diagnosis of type 2 diabetes.Which of the following medications is not used to treat type 2 diabetes?

Choice A rationale

Captopril is an Angiotensin Converting Enzyme (ACE) Inhibitor, which works by inhibiting the conversion of angiotensin I to angiotensin II. This leads to vasodilation and reduced blood pressure, making it effective in treating hypertension.

Choice C rationale

Lisinopril is also an Angiotensin Converting Enzyme (ACE) Inhibitor. It lowers blood pressure by blocking the formation of angiotensin II, a powerful vasoconstrictor, and thereby reducing systemic vascular resistance and blood pressure.

Choice A rationale

While metformin is commonly used as a first-line medication for type 2 diabetes, this choice does not specifically address a critical safety concern related to metformin.

Choice B rationale

Metformin can interact with contrast dyes used in imaging studies, increasing the risk of acute renal failure due to lactic acidosis. Patients need to be aware of this interaction to avoid potential complications.

Choice C rationale

Metformin is used to lower blood glucose levels, not increase them. This choice is incorrect.

Choice D rationale

While metformin is associated with less weight gain compared to other diabetes medications, this choice does not address the critical interaction with contrast dye.