To assess diabetes control over the preceding 3-month period, ...

[audie]

To assess diabetes control over the preceding 3-month period, what is the most reliable measure?
 
  a. Self-monitoring blood glucose (SMBG) graph report
  b. Patient's report
  c. Fasting blood glucose level
  d. Glycosylated hemoglobin level

Question 2

A nurse provides dietary counseling for a patient newly diagnosed with type 1 diabetes. Which instruction should be included?
 
  a. You may eat any foods you want and cover the glucose increase with sliding scale, regular insulin.
  b. Most of the calories you eat should be in the form of protein to promote fat breakdown and preserve muscle mass.
  c. Your total caloric intake should not exceed 1800 calories in a 24-hour period.
  d. Most of your calories should be in the form of carbohydrates and monounsaturated fats.

[pratush dev]

Answer to Question 1

ANS: D
The glycosylated hemoglobin level tell much about what the plasma glucose concentration has been, on average, over the previous 2 to 3 months.
The SMBG graph report is done by the patient and indicates each blood sugar level the patient has on a daily basis. It is not as reliable as the glycosylated hemoglobin level, because the equipment used might not be accurate and the testing may not reflect actual measurements 100 of the time.
The patient's report of blood sugar levels is not considered as accurate as the glycosylated hemoglobin level for the same reason that the SMBG is not.
One fasting blood glucose level indicates the patient's blood sugar level for that one time when it was obtained.

Answer to Question 2

ANS: D
Most of the calories eaten daily by a person with diabetes should be in the form of carbohydrates and monounsaturated fats.
A patient with diabetes cannot eat any foods desired and then cover the glucose increase with a sliding scale of regular insulin.
Protein should provide 15 to 20 of the patient's energy intake.
Every patient with diabetes must be assessed individually to determine the number of total calories the person should have daily. The total caloric intake should be spread evenly throughout the day, with meals spaced 4 to 5 hours apart.

[audie]

TY

[pratush dev]

You're welcome