The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital.
Discharge instructions about exercise should include which of the following?
A . Exercise should be performed 30 minutes before meals.
B . A snack may be needed before and/or during exercise.
C . Hyperglycemia may occur 2C4 hours after exercise.
D . The blood glucose level should be 100 mg or below before exercise is begun.
Answer: B
Explanation:
(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia.
(B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level.
(C) Exercise lowers blood sugar levels.
(D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.
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