Which comment made by a 12-year-old child with insulin-dependent diabetes mellitus (IDDM) indicates a knowledge deficit?
a. "I rotate my insulin injection sites every time I give myself an injection.".
b. "I keep records of my glucose levels and insulin sites and amounts.".
c. "I'll be glad when I can take a pill for my diabetes like my uncle does.".
d. "I keep Lifesavers in my school bag in case I have a low-sugar reaction.".
C
Children with IDDM will require life-long insulin therapy. Rotating injection sites is appropriate because insulin absorption varies at different sites. Keeping records of serum glucose and insulin sites and amounts is appropriate. Prompt treatment of hypoglycemia reduces the possibility of a severe reaction. Keeping hard candy on hand is an appropriate action.
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