Eating plans for patients with diabetes mellitus and ...

[neverstopbelieb]

Eating plans for patients with diabetes mellitus and gastroparesis should include
 
  a. six small meals daily.
  b. three regular meals daily.
  c. high protein intake.
  d. increased fluid intake.

Question 2

Patients with type 1 diabetes mellitus who are sick and unable to eat regular food should consume
 
  a. parenteral nutrition support.
  b. commercial liquid nutrition supplements.
  c. liquid, semiliquid, or soft sources of car-bohydrates.
  d. noncaloric fluids only to minimize the in-crease in blood glucose level.

Question 3

If a young woman with type 1 diabetes mellitus is in a car accident and breaks several bones, she is likely to need
 
  a. less insulin than usual.
  b. more insulin than usual.
  c. a different type of insulin.
  d. the same amount of insulin.

[guyanai]

Answer to Question 1

A
For patients with gastroparesis, six small meals daily are better tolerated than three regular meals daily. Patients with gastroparesis do not have increased needs for protein and fluid.

Answer to Question 2

C
Patients with type 1 diabetes mellitus who are sick and unable to eat regular food should con-sume liquid, semiliquid, or soft sources of carbohydrates to maintain their blood glucose level. Parenteral nutrition support is not usually necessary, unless the patient has severe vomiting. Commercial liquid nutrition supplements are not needed. Noncaloric fluids would prevent dehy-dration but would not provide carbohydrate to maintain their blood glucose level.

Answer to Question 3

B
Serious injury increases insulin requirements because of increased hepatic glucose production caused by the release of epinephrine, norepinephrine, glucagon, and cortisol.