A patient who has recently been diagnosed with type 1 diabetes mellitus will require insulin therapy. The patient states, "I guess I will have to give up the half bottle of wine I drink at dinner." Which information should the nurse provide?
1. "Wine is not permitted on your diet."
2. "You can drink as much wine as you would like but avoid hard liquor."
3. "Limit your wine to a time when you are eating a complete meal."
4. "Limit your wine to one glass a day."
5. "Milk is a better choice for you so substitute it for wine."
3,4
Rationale 1: Wine does not have to be eliminated from this patient's diet.
Rationale 2: The amount of wine permitted is not unlimited.
Rationale 3: Alcoholic beverages should be consumed along with a complete meal.
Rationale 4: Alcoholic beverages should be limited to one per day.
Rationale 5: Large amounts of milk would also interfere with the patient's glucose control.
Global Rationale: Alcoholic beverages should be consumed along with a complete meal and should be limited to one per day. Wine does not have to be eliminated from this patient's diet, but the amount of wine permitted is not unlimited. Large amounts of milk would also interfere with the patient's glucose control.
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