The nurse is providing dietary instruction to a client with diabetes who has normal kidney function. Which statement by the client requires intervention by the nurse?

  1. “I should limit cholesterol intake to 200 mg/day.”
  2. “I should eat very low or no carbohydrates when possible.”
  3. “My protein intake should be 15% to 20% of my daily calories.”
  4. “Fiber will improve my carbohydrate metabolism and lower cholesterol.”
Number 2 is correct.
Rationale: Carbohydrates help maintain postmeal glucose levels, and proper carbohydrate intake helps achieve glucose regulation and glycemic control. Balancing cholesterol intake with protein intake follows current ADA dietary recommendations. Fiber also helps stabilize carbohydrate metabolism and lower cholesterol.