The nurse is providing teaching to a client newly diagnosed with type 2 diabetes. Which should the nurse include in her teaching?

  1. check the feet daily
  2. have eye examinations every 2 years
  3. use a heating pad to keep the feet warm
  4. take extra insulin before consuming sweets
Number 1 is correct.
Rationale: Diabetics should check the feet daily for injury since diabetes causes a loss of sensation in the feet over time. A cut that goes unnoticed may become infected and progress to amputation. Eye examinations should be done on a yearly basis. Heating pads should be avoided on the feet due to the risk of injury caused by loss of sensation. The client should be encouraged to adhere to a diabetic diet and not to take extra insulin just to be able to eat off-limits food.