A 26-year-old multigravida at 28 weeks' gestation has developed gestational diabetes. She has a program of regular exercise that 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 2 hours after a meal.
2. Carry hard candy (or other simple sugar) when exercising.
3. If your finger stick shows less than 120 mg/dL, ingest 20 g of carbohydrate.
4. If your finger stick shows more than 120 mg/dL, drink a glass of whole milk or other source of carbohydrate.
2
Rationale:
1. It is best to exercise just after a meal, in order to utilize the glucose.
2. Clients are encouraged to keep hard candy (simple sugar) with them at all times, just in case the exercise induces hypoglycemia.
3. A finger stick of 120 mg/dL is considered to be at the high end of normal; therefore, such clients need no additional carbohydrate intake.
4. A finger stick of 120 mg/dL is considered to be at the high end of normal; therefore, such clients need no additional carbohydrate intake.
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