Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with insulin-dependent diabetes mellitus (IDDM) who are concerned about the child's continued participation in soccer?
a. "Consider the swim team as an alternative to soccer.".
b. "Encourage intellectual activity rather than participation in sports.".
c. "It is okay to play sports such as soccer when the weather is moderate.".
d. "Give the child an extra 15 to 30 grams of carbohydrate snack before soccer practice.".
D
Exercise lowers blood glucose levels. A snack with 15 to 30 grams of carbohydrates before exercise will decrease the risk of hypoglycemia. Soccer is an appropriate sport for a child with IDDM as long as the child prevents hypoglycemia by eating a snack. Participation in sports is not contraindicated for a child with IDDM. The child with IDDM may participate in sports activities regardless of climate.
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