A nurse cares for a client who has type 1 diabetes mellitus. The client asks, "Is it okay for me to have an occasional glass of wine?" How should the nurse respond?
a. "Drinking any wine or alcohol will increase your insulin requirements."
b. "Because of poor kidney function, people with diabetes should avoid alcohol."
c. "You should not drink alcohol because it will make you hungry and overeat."
d. "One glass of wine is okay with a meal and is counted as two fat exchanges."
ANS: D
Under normal circumstances, blood glucose levels will not be affected by moderate use of alcohol when diabetes is well controlled. Because alcohol can induce hypoglycemia, it should be ingested with or shortly after a meal. One alcoholic beverage is substituted for two fat exchanges when caloric intake is calculated. Kidney function is not impacted by alcohol intake. Alcohol is not associated with increased hunger or overeating.
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