An type 1 (insulin-dependent) diabetic reports recurrent hypoglycemia late in the morning. After collecting his health history what finding would the nurse suspect is causing the late morning hypoglycemia?
A) The patient likes to nap after work before his evening meal.
B) The patient jogs 2 miles in the morning before he goes to work.
C) The patient likes to have an early lunch with his girlfriend.
D) The patient eats oatmeal early in the morning for breakfast.
B
Feedback:
Physical exercise, such as jogging, changes insulin requirements and may result in a delayed hypoglycemic reaction. The fact that he likes to nap before dinner and has an early lunch is unrelated to his hypoglycemia. The patient eating oatmeal early in the morning would help stabilize his blood sugars until later in the morning, but the jogging would have a dramatic effect.
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