The school nurse is assessing the readiness of a 16-year-old athlete who is diabetic. As the teenager becomes more physically active during the day, which management strategies should the nurse advise?
always carry some form of high-protein, high-fat snack
let the coach know the athlete is a diabetic
inject insulin at least 30 minutes prior to athletic event
Numbers 1 and 3 are correct.
Rationale: Blood glucose levels should be closely monitored before exercise. If the level is below 70, the athlete should have a snack. If it is above 300, the athlete should inject insulin consistent with the personal plan and retest. The coach should know the athlete is a diabetic and what the signs/symptoms of hypoglycemia are so he can help if this occurs. Snacks high in carbohydrates should be carried in case of hypoglycemia. Insulin injections should be consistent with the athlete’s schedule. Administering insulin prior to an athletic event will increase chances for hypoglycemia.
