During the summer many children are more physically active. What changes in the management of the child with diabetes should be expected as a result of more exercise?
a. ?food intake
b. ?food intake
c. ?risk of hyperglycemia
d. ?risk of insulin reaction
ANS: A
Exercise is encouraged and never restricted unless indicated by other health conditions. Exercise lowers blood glucose levels, depending on the intensity and duration of the activity. Consequently, exercise should be included as part of diabetes management, and the type and amount of exercise should be planned around the child's interests and capabilities. However, in most instances, children's activities are unplanned, and the resulting decrease in blood glucose can be compensated for by providing extra snacks before (and, if the exercise is prolonged, during) the activity. In addition to a feeling of well-being, regular exercise aids in utilization of food and often results in a reduction of insulin requirements.
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