The parent of a junior high-school child who has type 1 diabetes asks the nurse if the child can participate in sports. The nurse will tell the parent
a. that strenuous exercise is not recommended for children with diabetes.
b. that the child must be monitored for hyperglycemia while exercising.
c. to administer an extra dose of regular insulin prior to exercise.
d. to send a snack with the child to eat just prior to exercise.
ANS: D
Patients generally need less insulin with increased exercise, so the child should consume a snack to prevent hypoglycemia. Exercise is an integral part of diabetes management. Hypoglycemia is more likely to occur, and extra insulin is not indicated.
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