The nurse is providing instruction to a group of patients who are planning to participate in an athletic triathlon. Each member of the group has been diagnosed with either diabetes mellitus type 1 or type 2
A member of the group asks, "If we each follow our usual daily diabetic control routine, which diabetic complication is most likely to occur during this event?" What is the nurse's best answer? 1. Diabetic ketoacidosis
2. Hypoglycemia
3. Hyperosmolar hyperglycemic state
4. Impaired glucose tolerance
2
Rationale 1: Diabetic ketoacidosis is related to deficiency in insulin secretion with extremely high blood glucose levels. It is not associated with exercise.
Rationale 2: Severe hypoglycemia often results from too much insulin, too little food, or too much exercise.
Rationale 3: Hyperosmolar hyperglycemic state results from dehydration, but it is generally limited to those who cannot obtain fluids, are neglected or institutionalized, or have mental deficiencies.
Rationale 4: Impaired glucose tolerance is the state of prediabetes and is not associated with exercise.
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