A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?

The patient eats a high-carbohydrate snack before the exercise period.

The patient reduces insulin use during days when exercise periods are planned.

The patient should know blood sugar before activity.

The patient administers insulin after exercise rather than before exercise.

Answer and Explanation

The Correct Answer is C

A. The patient eats a high-carbohydrate snack before the exercise period: It is important for a patient with type 1 diabetes to ensure they have adequate glucose levels for exercise. Eating a high-carbohydrate snack before exercise is not always necessary unless blood glucose is low.

B. The patient reduces insulin use during days when exercise periods are planned: Insulin needs may be adjusted in relation to exercise, but reducing insulin across the board is not recommended without professional guidance.

C. The patient should know blood sugar before activity: It is important for patients with type 1 diabetes to check their blood sugar before exercise to ensure it is in a safe range. If the blood sugar is too low, they should consume a carbohydrate to prevent hypoglycemia.

D. The patient administers insulin after exercise rather than before exercise: Insulin should be timed appropriately to cover food intake and prevent post-meal hyperglycemia. Delaying insulin until after exercise could lead to high blood sugar levels.

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Correct Answer is A

Explanation

A. "Iodized salt helps prevent the development of goiters in the United States.": Iodine deficiencyis a primary cause of goiter, and in the United States, the widespread use of iodized salthas significantly reduced the incidence of goiters.

B. "It is because of the screening techniques used in the United States.": While screening for thyroid disorders is important, it is not the primary reason for the lower incidence of goiters. The main reason is the availability of iodinethrough iodized salt.

C. "The medications available in the United States decrease goiters.": Medications like thyroid hormone replacements can help manage thyroid disorders, but they do not directly prevent goiters. The reduction in goiters is mainly due to dietary iodine availability.

D. "It is a genetic predisposition rare in North Americans.": While genetic factors can play a role in thyroid disorders, iodine deficiencyis the primary cause of goiters worldwide. Iodine deficiencyis less common in the United States due to iodized salt, not genetic predisposition.

A. The patient is demonstrating improved control of hyperglycemia over the last several months. B. The patient has less need for insulin. C. The patient is experiencing a reduction in insulin sensitivity. D. The patient has been less compliant with the prescribed treatment regimen.

Correct Answer is A

Explanation

A. The patient is demonstrating improved control of hyperglycemia over the last several months: The HbA1c level reflects the average blood glucose level over the past 2-3 months. A drop from 9.4% to 5.4% indicates a significant improvement in blood sugar control.

B. The patient has less need for insulin: A drop in HbA1c indicates improved blood sugar control, but it doesn't directly indicate that the patient has reduced insulin needs. Insulin requirements can still vary depending on the individual’s treatment plan and overall health.

C. The patient is experiencing a reduction in insulin sensitivity: Improved control of hyperglycemia (as evidenced by the drop in HbA1c) suggests better insulin sensitivity, not a reduction. Insulin sensitivity typically improves with better glucose control.

D. The patient has been less compliant with the prescribed treatment regimen: A lower HbA1c suggests better compliance with treatment; usually indicates successful management of blood glucose levels, which often results from adhering to the prescribed regimen.

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A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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