Which is the primary dietary consideration for a client receiving insulin isophane suspension (NPH) at breakfast?
A) Make sure breakfast is not delayed.
B) Provide fewest amount of carbohydrates at lunch meal.
C) Encourage midday snack.
D) Delay dinner meal.
C
Feedback:
Because NPH is an intermediate-acting insulin that peaks in approximately 4 to 12 hours, a midday snack should be included in daily calorie intake to avoid hypoglycemia. NPH insulin has no immediate effects. Carbohydrates are distributed throughout the meal plan of diabetics to avoid highs and lows. Delaying dinner meal is not indicated with NPH insulin use.
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