The nurse is working with a client who has had difficulty maintaining adequate control of his type 2 diabetes. During the course of the conversation, the client mentions that he gets tired of adding up all the calories and forgets to do it sometimes
What suggestion can the nurse make to help this client? A) Download an app to his smartphone from the ADA to help count calories.
B) Switch to the exchange list system.
C) Concentrate on checking his glucose before each meal.
D) Make a daily plan and follow it precisely.
B
Feedback:
An advantage of using the exchange list system is that it eliminates the need for daily calculations and ensures a relatively consistent intake. Some individuals do need to check their glucose before each and some who have learned how to control the diabetes are able to use this method. It might not be the best for this individual, however. Diabetics have to plan what they are going to eat; however, the exchange list system allows for more flexibility.
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