Final answer:
The statement from an older child indicating a need for further instruction on managing type 1 diabetes is the belief that they can eat anything if they cover it with enough insulin. Managing diabetes requires balanced eating and understanding the role of insulin injections in blood sugar control, not just caloric intake. Education on diet and insulin management is essential.
Step-by-step explanation:
The statement by the older child that indicates the need for additional instruction for managing type 1 diabetes is: "I can eat whatever I want as long as I cover the calories with sufficient insulin." This belief is incorrect because managing type 1 diabetes involves more than just covering calorie intake with insulin. Instead, it's important to maintain a healthy, balanced diet, eat several smaller meals throughout the day to keep blood sugar levels stable, and to understand that insulin injections are necessary to decrease blood glucose levels after a meal, not just to cover caloric intake.
People with type 1 diabetes must monitor their blood sugar frequently and take insulin shots for life. While it is possible to consume an occasional low-calorie drink or require a bedtime snack due to an evening dose of NPH insulin, it is also critical to eat meals as scheduled, even if not hungry, to prevent hypoglycemia. A comprehensive treatment plan includes a combination of diet, exercise, and insulin management. Understanding the role of insulin and maintaining overall healthful eating habits are vital in managing the condition successfully. Moreover, type 2 diabetes management may involve lifestyle changes and medications that can sometimes result in remission, while lifestyle changes alone can be effective in controlling type 1 diabetes.