What is the most important action for a patient to take to prevent or delay long-term complications of diabetes?

a. Carefully control blood glucose.
b. Regularly inspect feet.
c. Limit fluids to prevent stress to kidneys.
d. Keep orange juice with sugar available at all times.


ANS: A
Over time, chronic hyperglycemia causes a variety of serious complications in persons with diabetes. The Diabetes Control and Complications Trial showed that individuals with type 1 diabetes who maintain tight control of blood glucose experience fewer long-term complications than individuals who take traditional care of their diabetes. Feet should be inspected daily, but this is not the most important strategy to prevent complications. Fluids are only limited in patients who already have end-stage nephropathy. Orange juice (without sugar) is good to have on hand but will not prevent long-term complications.

Nursing

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