The nurse is discussing diet planning with a client who takes insulin as treatment for type 2 diabetes mellitus. What should the nurse encourage this client to do?
a. Adjust carbohydrates for snacks, but only eat them if hungry between meals.
b. Eat a larger snack if hunger occurs in the middle of the day and skip the next meal
c. Subtract several servings of carbohydrates from the daily meals and use them for snacks.
d. Add several servings of carbohydrates as snacks throughout the day without adjustments to meals.
c. Subtract several servings of carbohydrates from the daily meals and use them for snacks.
Daily insulin doses are calculated on the number of calories consumed per day, so snacks should be subtracted from the carbohydrates allowed for meals to maintain the same intake. Adding additional calories throughout the day may necessitate an insulin adjustment to maintain good glucose control. Skipping meals can result in an overabundance of insulin and result in a hypoglycemic episode. Calorie intake should be as consistent as possible to maintain optimized levels of blood sugar.
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