The nurse is planning care for a patient with type 1 diabetes mellitus. Which action should the nurse identify as being the most effective to reduce the development of complications?
1. self-monitoring of blood glucose levels
2. performance of effective foot care
3. the necessity of a yearly eye exam
4. knowing symptoms of urinary tract infections
Correct Answer: 1
The results of a 10-year DM Control and Complications Trial (DCCT), sponsored by the National Institutes of Health (NIH), have significant implications for the management of type 1 DM. People in the study who kept their blood glucose levels close to normal by frequent monitoring, several daily insulin injections, and lifestyle changes that included exercise and a healthier diet reduced by 60% their risk for the development and progression of complications involving the eyes, the kidneys, and the nervous system. Effective foot care, yearly eye exams, and prompt reporting of infections are all important but are not the priority for reducing the development of complications.
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