As part of a teaching plan in preparation for discharge, a patient with type 1 diabetes needs guidelines for exercise. Which guideline should be included?
Insulin should be injected into the lower extremity before exercise because that site provides the greatest absorption.
Keep exercise at a minimum to conserve your energy.
Exercise should be performed daily at the same time of day and at the same intensity.
Plan exercise so that it coincides with the peak action of insulin.
The Correct Answer is C
Rationale:
A. Insulin should not be injected into a limb that will be actively exercised, as it can alter absorption rates and lead to hypoglycemia.
B. Regular, moderate exercise is recommended to improve glucose control, not minimizing it.
C. Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.
D. Exercising at the peak action of insulin increases the risk of hypoglycemia. It is safer to avoid high-intensity exercise during this time.
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View Related questions
Correct Answer is C
Explanation
Rationale:
A. Drinking fluids is important to prevent dehydration, but it is not the priority over monitoring blood glucose levels.
B. Consuming carbohydrates is necessary to prevent hypoglycemia, but this is not the primary concern during illness.
C. Monitoring blood glucose levels every 4 hours is the priority action because blood glucose can fluctuate significantly during illness, increasing the risk of hyperglycemia or diabetic ketoacidosis.
D. Taking the usual insulin dosage is essential, but it should be based on frequent glucose monitoring to adjust for illness-related changes in insulin requirements.
Correct Answer is A
Explanation
Rationale:
A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.