An obese patient diagnosed with type 2 diabetes would like to achieve a healthy weight. The patient says, "My girlfriend lost a lot of weight on a high-protein diet."

Question

Which nursing responses are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "You might try the diet for a few weeks and see how your weight and blood glucose respond.".
2. "You should keep your protein intake to about 15% to 20% of your diet.".
3. "You would probably be more successful if you restricted your carbohydrate intake to less than 130 grams a day.".
4. "If you make healthy food choices and increase your exercise, you should experience weight loss.".
5. "You should avoid starchy foods, all sweets, and follow the American Diabetes Association exchange program.".

Answer 1

2,4
Rationale 1: High-protein diets are not recommended as a method of weight loss.
Rationale 2: The diabetic patient should set a goal of 15% to 20% protein in the diet.
Rationale 3: Low-carbohydrate diets are not recommended in the management of diabetes.
Rationale 4: The focus of dietary management is to promote healthy food choices and physical activity.
Rationale 5: Avoidance of foods is the old way of managing the diabetic diet. Today, the patient is encouraged to make healthy food choices. Following a strict diet is not recommended for most patients.