The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
a. "I can have an occasional alcoholic drink if I include it in my meal plan."
b. "I will need a bedtime snack because I take an evening dose of NPH insulin."
c. "I can choose any foods, as long as I use enough insulin to cover the calories."
d. "I will eat something at meal times to prevent hypoglycemia, even if I am not hungry."
ANS: C
Most patients with type 1 diabetes need to plan diet choices very carefully. Patients who are using intensified insulin therapy have considerable flexibility in diet choices but still should restrict dietary intake of items such as fat, protein, and alcohol. The other patient statements are correct and indicate good understanding of the diet instruction.
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