The diabetic Nurse Educator is teaching a class for newly diagnosed diabetics and their families
In this class the Nurse Educator is teaching about "sick day rules." What guideline applies to periods of illness ("sick day rules") in a diabetic patient?
A) Do not eliminate insulin when nauseated and vomiting.
B) Report elevated glucose levels greater than 150 mg/dL.
C) Eat three meals a day.
D) If nauseated, do not eat solid foods.
Ans: A
Feedback: The most important issue to teach patients with diabetes who become ill is not to eliminate insulin doses when nausea and vomiting occur. Rather, they should take their usual insulin or oral hypoglycemic agent dose, and then attempt to consume frequent small portions of food. In general, blood sugar levels will rise but should be reported if they are greater than 300 mg/dL.
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