A 26-year-old multigravida is 28 weeks pregnant. She has developed gestational diabetes. She is following a program of regular exercise, which includes walking, bicycling, and swimming
What instructions should be included in a teaching plan for this client? 1. "Exercise either just before meals or wait until two hours after a meal."
2. "Carry hard candy (or other simple sugar) when exercising."
3. "If your blood sugar is 120 mg/dL, eat 20 g of carbohydrate."
4. "If your blood sugar is more than 120 mg/dL, drink a glass of whole milk."
2
Rationale:
1. It is best to exercise just after the meal, in order to utilize the glucose.
2. A client should be encouraged to continue any exercise programs in which she already is involved. She should keep hard candy (simple sugar) with her at all times, just in case the exercise induces hypoglycemia.
3. A finger stick result of 120 mg/dL is considered to be normal.
4. Such clients need no additional carbohydrate or protein intake.
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