A nurse provides dietary counseling for a patient newly diagnosed with type 1 diabetes. Which instruction should be included?
a. "You may eat any foods you want and cover the glucose increase with sliding scale, regular insulin."
b. "Most of the calories you eat should be in the form of protein to promote fat breakdown and preserve muscle mass."
c. "Your total caloric intake should not exceed 1800 calories in a 24-hour period."
d. "Most of your calories should be in the form of carbohydrates and monounsaturated fats."
ANS: D
Most of the calories eaten daily by a person with diabetes should be in the form of carbohydrates and monounsaturated fats.
A patient with diabetes cannot eat any foods desired and then cover the glucose increase with a sliding scale of regular insulin.
Protein should provide 15% to 20% of the patient's energy intake.
Every patient with diabetes must be assessed individually to determine the number of total calories the person should have daily. The total caloric intake should be spread evenly throughout the day, with meals spaced 4 to 5 hours apart.
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