Author Question: When working with overweight clients with diabetes the nurses should suggest the following ... (Read 54 times)

laurencescou · **on:** Aug 2, 2018

When working with overweight clients with diabetes the nurses should suggest the following strategies for weight loss:

1. Low-carbohydrate diet, increased exercise, and surgery.
2. Increased exercise, reduction of daily calories, and ways to avoid behaviors that have been barriers in the past for weight loss.
3. Low-protein diet, coping strategies to avoid overeating, and exercise.
4. High-fiber diet, surgery, and exercise.

Question 2

Hank is a 52-year-old professional who has type 2 diabetes. He is very health conscious and carefully follows his diet and exercises regularly. He has good glycemic control and his BMI is < 25.

When reviewing his medication list, the nurse notices that he has numerous vitamins and natural supplements listed. He tells her that he spends about 300 online each month for these items. The best response for the nurse would be: 1. Vitamins and other supplements that are natural are safe for consumers to use.
2. Extra vitamins and minerals are not routinely recommended for clients with diabetes unless there is an special medical reason.
3. Taking extra vitamins is a good practice, but supplements may interact with other medications.
4. Only the B vitamins have been shown to result in improvements with glucose control.

phuda · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

2
Rationale: Low-carbohydrate diets should be avoided in clients with diabetes to avoid increases in LDL cholesterol since they are already at risk for cardiac disease. The best initial strategy for clients with or without diabetes is increased exercise, reduction of daily calories, and developing ways to avoid behaviors that have been barriers to past attempts at weight loss. Clients wanting to lose weight should continue to eat a balanced diet that includes the recommended calories for each food group rather than restricting calories from specific food groups. High-fiber diets are recommended for diabetics based on the metabolism rate for fiber, but surgical intervention should be reserved for clients who have repeatedly been unsuccessful at weight loss attempts and are morbidly obese.

Answer to Question 2

2
Rationale: Although many consumers consider any products labeled as natural to be safe, excessive vitamin supplementation can produce unwanted side effects, and other natural supplements may interact with prescribed medications. Extra vitamins are not routinely recommended for clients with diabetes unless there is an underlying medical problem or the client is an older adult or pregnant female. In clinical trials, the addition of vitamins and other nutritional supplements have not been shown to produce any improvement in diabetes management.