Children tend to be more active in summer. Which change in the management of the child with diabetes would the nurse teach the patient and family to help treat episodes of hypoglycemia?

1. Increase food intake prior to exercise
2. Decrease food intake prior to exercise
3. Give an additional dose of insulin prior to exercise
4. Avoid foods high in protein


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1. This measure should be taken because exercise can lower blood sugar levels, so adding the extra carbohydrate and protein snack will help the blood sugar levels maintain a normal level. This means that the child is less likely to have a hypoglycemic episode.
2. Children with diabetes must have extra carbohydrate and protein servings prior to exercise. This is because exercise can lower blood sugar levels.
3. The extra dose does not stabilize the blood glucose level long term.
4. Protein snacks help keep the blood glucose level stable and within normal limits.

Nursing

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