A patient, admitted with cellulitis, has hemoglobin A1C level that revealed the patient's average blood sugars prior to admission were 300 mg/dL. The patient has been started on insulin in addition to oral diabetes medications
Which teaching point is essential for this patient to understand before discharge? "It will be important for you to: 1. Decrease your weight in order to decrease your hemoglobin A1C."
2. Eat for 60 minutes each morning after taking your insulin."
3. Change the types of carbohydrates you eat to complex carbohydrates."
4. Use the glucose meter to check your blood sugars before you take your insulin."
4
Rationale 1: Though weight management is important, the hemoglobin A1C is not directly related to weight management.
Rationale 2: The patient should not be taught to eat for an hour. Instead the patient should eat within 15 to 30 minutes of taking insulin (depending on the type of insulin).
Rationale 3: Complex carbohydrates do stabilize the blood sugar, but the patient may eat some simple carbohydrates, especially with meals.
Rationale 4: It is essential that this patient check his or her blood sugars with a meter when taking insulin.
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