The nurse is teaching a client about foot care for diabetes management. Which statement by the client indicates a need for further clarification?

Basal-bolus insulin therapy involves administering a continuous basal insulin infusion to provide background insulin coverage and delivering bolus doses of insulin before meals to cover postprandial glucose elevations.

Incorrect choices:

a. This choice is incorrect. Oral antidiabetic medications are not used in basal-bolus insulin therapy.

c. This choice is incorrect. Sliding-scale insulin therapy involves adjusting insulin doses based on current blood glucose levels, rather than providing consistent basal and mealtime coverage.

d. This choice is incorrect. Insulin glargine therapy provides long-acting basal insulin coverage but does not involve bolus doses before meals.

Carbohydrates have the most significant impact on blood glucose levels as they are broken down into glucose during digestion. Monitoring and controlling carbohydrate intake is crucial for managing blood glucose levels in individuals with diabetes mellitus.

Incorrect choices:

a. This choice is incorrect. Fiber intake is important for digestive health and can help stabilize blood glucose levels, but it does not have as direct an impact as carbohydrates.

b. This choice is incorrect. Protein intake can influence insulin secretion, but it has a more modest effect on blood glucose compared to carbohydrates.

c. This choice is incorrect. Fat intake affects overall health, but it has a minimal direct impact on blood glucose levels.