You are caring for four patients, all diagnosed with type 1 diabetes. Based upon components of managing diabetes, which patient will likely have the greatest success in maintaining tight glucose control of type 1 diabetes?
A) A patient who skips breakfast when his or her morning fingerstick glucose reading is greater than 220 mg/dL
B) A patient who never deviates from his or her prescribed dose of insulin
C) A patient who adheres to a meal plan and meal schedule
D) A patient who eliminates carbohydrates from his or her daily intake
Ans: C
Feedback: The therapeutic goal for diabetes management is to achieve normal blood glucose levels without hypoglycemia. Therefore, diabetes management involves constant assessment and modification of the treatment plan by health professionals and daily adjustments in therapy (possibly including insulin) by patients. For patients who require insulin to help control blood glucose levels, maintaining consistency in the amount of calories and carbohydrates ingested at meals is essential. In addition, consistency in the approximate time intervals between meals, and the snacks, help maintain overall glucose control. Skipping meals is never advisable for an insulin-dependent diabetic.
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