Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?
a. Patient will inject insulin twice daily.
b. Patient will keep appointments with physician over the next 6 months.
c. Patient's A1c will be 5% at 1 year postdiagnosis.
d. Patient's recorded blood glucose will be between 60 and 120 mg/dL each day.
ANS: C
A
Taking the insulin is important but does not indicate how well blood glucose was controlled.
B
Although keeping appointments is important for diabetes management, this does not indicate blood glucose control.
C
"Patient's A1c will be 5% at 1 year postdiagnosis" reflects the best indicator of long-term control of blood glucose level and therefore diabetes management. This goal is specific and easily measurable.
D
"Patient's recorded blood glucose will be between 60 and 120 mg/dL each day" is a short-term measure of blood glucose control.
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