A client with type 1 diabetes is experiencing variability in blood glucose levels throughout the day. What should the nurse teach the client about monitoring and adjusting insulin therapy?
Administer the same dose of insulin regardless of the meal's carbohydrate content.
Monitor blood glucose levels only once daily to avoid stress.
Adjust insulin doses based on blood glucose patterns and carbohydrate intake.
Use rapid-acting insulin for basal coverage and long-acting insulin for meal coverage.
The Correct Answer is C
Monitoring blood glucose levels regularly and adjusting insulin doses based on patterns and carbohydrate intake helps maintain stable blood glucose levels.
Incorrect choices:
a. Administering the same insulin dose regardless of carbohydrate content can lead to inconsistent blood glucose control.
b. Monitoring blood glucose levels only once daily does not provide enough information for effective insulin dosing adjustments.
d. The described approach involves using insulin types inappropriately for their intended purposes.
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Related Questions
Correct Answer is A
Explanation
Rapid-acting insulin is used to control post-meal blood glucose elevations and can be taken to cover meals and snacks.
Incorrect choices:
b. Short-acting insulin can also cover meals and snacks, but it may not be as rapid-acting as the name suggests.
c. Intermediate-acting insulin provides coverage beyond mealtime and is not specifically designed for mealtime glucose control.
d. Long-acting insulin provides a steady baseline and is not intended for mealtime coverage.
Correct Answer is C
Explanation
Mealtime insulin is rapid-acting or short-acting insulin administered before or after meals to control postprandial glucose levels.
Incorrect choices:
a. Mealtime insulin is usually administered multiple times a day, not as a single daily injection.
b. Mealtime insulin is not typically a long-acting insulin; it is rapid-acting or short-acting insulin.
d. Mealtime insulin is administered before or after each meal, not only for the evening meal.
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