Medical Surgical Diabetes #1

Question

The nurse is providing diabetic education on Type I diabetes to a newly diagnosed 13-year-old. Which non-pharmacological instruction will most benefit health promotion while living with Type I diabetes?

Answers

  1. Perform routine physical exercise.
    • Rationale:

      This answer is correct because exercise is the most beneficial non-pharmacologic habit a teen can participate in. Only insulin and physical exercise will lower the blood glucose for this person. Routine physical exercise is beneficial for diabetics and the teen may need to learn how to take self blood sugars before and after activity and to carry forms of sugar. Exercise benefits those with Type I diabetes since it may help increase insulin sensitivity which means the body may not need as much insulin to process carbohydrates. Safely incorporating exercise will help with long-term life styles into adulthood.

  2. Do not take insulin while ill.
    • Rationale:

      This answer is not correct because not taking insulin when sick would be a pharmacologic intervention, not a non-pharmacologic intervention. Also, insulin will still need to be taken when ill or during “sick daysâ€. The amount may need to be adjusted and careful monitoring performed. Nevertheless, the most beneficial non-pharmacologic habit a teen can participate in. Furthermore, only insulin and physical exercise can actually lower the blood glucose for this client. Dietary choices can help maintain blood glucoses also.

  3. 50% of daily intake should be from protein.
    • Rationale:

      This answer is not correct because 45-50% of the type 1 diabetic person’s daily intake should come from carbohydrates not protein. Exercise is the most beneficial non-pharmacologic habit a teen can participate in. Exercise benefits those with Type I diabetes since it may help increase insulin sensitivity which means the body may not need as much insulin to process carbohydrates. Safely incorporating exercise will help with long-term life styles into adulthood.

  4. Oral hypoglycemic medications may be given in-between insulin.
    • Rationale:

      This answer is not correct because oral hypoglycemic medications will not work since the teen has Type I diabetes, which is insulin dependent. The pancreas has to be working for oral hypoglycemics to be effective. The type 1 diabetic can only live if given insulin. Otherwise, the client would go into diabetic ketoacidosis and die.

Overview

Type I diabetes mellitus is also known as juvenile diabetes since it typically appears in adolescence. One of the most beneficial non-pharmacological teachings for a teen newly diagnosed with Type I diabetes is encouragement to perform physical exercise.

Explanation

Learning Outcomes

Type I diabetes mellitus is also known as juvenile diabetes since it typically appears in adolescence. It is also known as insulin-dependent diabetes since the pancreatic cells that produce insulin cannot produce insulin anymore. This is because the cells have been destroyed. Only insulin and physical exercise will lower the blood glucose for this person. Routine physical exercise is beneficial for diabetics and the teen may need to learn how to take self blood sugars before and after activity and to carry forms of sugar. Exercise benefits those with Type I diabetes since it may help increase insulin sensitivity which means the body may not need as much insulin to process carbohydrates. Safely incorporating exercise will help with long-term life styles into adulthood. The three major symptoms of diabetes type 1 include excessive thirst (polypdipsia), hunger (polyphagia), and urination (polyuria).

Test Taking Tip

The three major symptoms of diabetes type 1 include excessive thirst (polypdipsia), hunger (polyphagia), and urination (polyuria). These are often referred to as the three “pollys”: polydipsia, polyphagia, and polyuria.

Video Rationale