A 26-year-old multigravida who is 28 weeks pregnant and follows a program of regular exercise develops gestational diabetes. What instructions should be included in a teaching plan for this client?
1. "Carry hard candy (or other simple sugar) when exercising."
2. "If your blood sugar is 120 mg/dL, eat 20 g of carbohydrate."
3. "Exercise either just before meals or wait until 2 hours after a meal."
4. "If your blood sugar is more than 120 mg/dL, drink a glass of whole milk."
1
Explanation:
1. A client should be encouraged to continue any exercise programs in which she already is involved. She should keep hard candy (simple sugar) with her at all times, just in case the exercise induces hypoglycemia.
2. A finger-stick result of 120 mg/dL is considered to be normal.
3. It is best to exercise just after the meal in order to utilize the glucose.
4. Such clients need no additional carbohydrate or protein intake.
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