Monday, March 9, 2020

An adolescent with well-controlled insulin-dependent diabetes mellitus has assumed complete management of the disease and wants to participate in gymnastics after school



An adolescent with well-controlled insulin-dependent diabetes mellitus has assumed complete management of the disease and wants to participate in gymnastics after school.
To ensure safe participation, nurse Eve should instruct the child to adjust the therapeutic regimen by:
a- eating a snack before each gymnastics practice
b- measuring the urine glucose level before each gymnastics practice
c- measuring the blood glucose level after each gymnastics practice
d- increasing the morning dosage of intermediate-acting insulin

Answer A.
Because exercise decreases the blood glucose level, the nurse should instruct the child to eat a snack before engaging in physical activity to prevent a hypoglycemic episode.