When developing the plan of care for a patient who has been newly diagnosed with diabetes, which of the following points is of highest priority?
1. Hunger and irritability may indicate low blood glucose.
2. Cut toenails straight across.
3. Avoid alcohol in the diet.
4. Do not eat any sweets or desserts.
Hunger and irritability may indicate low blood glucose.
Rationale: Untreated hypoglycemia may lead to brain damage, and therefore is the highest priority for teaching. Cutting the toenails straight across and proper foot care is taught, but is not the priority. Alcohol and sweets may be incorporated into the diabetic diet prescription in moderation.
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