Question

A nurse is teaching a client who is newly diagnosed with type 1 DM how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching?

A) "I don't need to worry about the amount of carbohydrates in my meals."
B) "I'll only count carbohydrates in foods with visible sugar."
C) "I'll include both sugar and fiber content when counting carbohydrates."
D) "Fats and proteins don't affect my blood sugar, so I won't count them."

Answer 1

The correct answer is 'I'll include both sugar and fiber content when counting carbohydrates,' indicating the client's understanding that all forms of carbohydrates impact blood glucose levels and should be included in carbohydrate counting.

Step-by-step explanation:

The concept in question involves a client with type 1 diabetes mellitus (DM) learning to count carbohydrates for better management of their condition. Among the provided options, the correct statement indicating an understanding of carbohydrate counting would be: "I'll include both sugar and fiber content when counting carbohydrates." This statement shows that the client knows to account for all forms of carbohydrates, not just those with visible sugars. Carbohydrates are crucial for diabetic patients as they have a direct impact on blood glucose levels. Carbohydrates include sugars, starches, and fiber, and complex carbohydrates are preferred over simple sugars because they contain fiber and other nutrients that aid in managing blood glucose and cholesterol.

For people with DM, it is important to note that all digestible carbohydrates are used by the body for energy and also affect blood sugar levels. It's also vital to remember that fiber, while it doesn't provide energy like other carbohydrates, plays an important role in controlling blood glucose and cholesterol levels. In a well-balanced diet, carbohydrates should be supplemented with proteins, vitamins, and fats.