The client tells the nurse that he enjoys having a glass of wine on Saturdays when dining out with friends. He asks if having type 1 diabetes will prohibit him from this activity. What is the nurse's best response?
A. "Insulin activity is dramatically reduced under the influence of alcohol and drinking even one glass of wine will increase your insulin requirements."
B. "Diabetics have decreased kidney function and should avoid ingesting alcohol in all forms at all times."
C. "You shouldn't drink any alcohol because it is likely to increase your sense of hunger and make you overeat."
D. "One glass of wine can be ingested with a meal and is counted as two fat ex-changes."
D
Under normal circumstances, blood glucose levels will not be affected by moderate use of alco-hol when diabetes is well controlled. When using insulin, two alcoholic beverages for men and one for women can be ingested with and in addition to the normal meal plan. Because alcohol can induce hypoglycemia, it should be ingested with or shortly after a meal. One alcoholic beve-rage is substituted for two fat exchanges when caloric intake is calculated.
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