The nurse is providing teaching to a patient with reactive hypoglycemia. Which instructions related to glucose monitoring should the nurse provide? (Select all that apply.)
a. "It is important to check your blood sugar at bedtime."
b. "It is important to check blood sugar 1 hour before meals."
c. "You will need to check your blood sugar 2 hours after meals."
d. "You should check your blood sugar when you get up in the morning."
e. "Two hours before each meal is the best time to check your blood sugar."
f. "Checking your blood sugar once a day, at the same time each day, is sufficient."
ANS: A, C, D
Low blood glucose may occur as an overreaction of the pancreas to eating. The pancreas senses a rising blood glucose and produces more insulin than is necessary for the use of that glucose. As a result, the blood glucose drops to below normal. Readings should be taken in the morning on arising, 2 hours after each meal, at bedtime, and during symptoms of hypoglycemia. These results may then be taken to the physician for interpretation. B. E. F. Checking blood glucose levels at these times will not help the patient control reactive hypoglycemia.
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