Which statements indicate that instruction provided to a client with type 1 diabetes mellitus regarding exercise has been effective?
Standard Text: Select all that apply.
1. "I should start any new exercise regimen slowly."
2. "I should exercise an hour after a meal."
3. "I should have a snack of 10 to 15 grams of carbohydrate before exercising."
4. "I should take 10- to 15-gram carbohydrate snacks with me to the gym if I plan to exercise longer than 30 minutes."
5. "I should withhold my routine insulin dose if I plan to exercise that day."
Correct Answer: 1,2,3,4
Rationale 1: The client should be instructed to begin any new exercise routine or increase in exercise gradually.
Rationale 2: The client should be instructed to exercise an hour after a meal.
Rationale 3: The client should be instructed to exercise after a 10- to 15-gram carbohydrate snack.
Rationale 4: The client should be instructed to have small frequent carbohydrate snacks every 30 minutes during exercise to maintain the blood sugar level.
Rationale 5: The nurse should not instruct the client to alter the routine insulin dose according to the exercise schedule.
Global Rationale: The client should be instructed to begin any new exercise routine or increase in exercise gradually. Exercising an hour after a meal or a 10 to 15 gram carbohydrate snack will help support blood glucose. The client should have small frequent carbohydrate snacks during exercise. The nurse should not instruct the client to alter the routine insulin dose according to the exercise schedule.
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