Question

A 6-year-old child with diabetes mellitus and the child's mother come to the health care clinic for a routine examination. The nurse evaluates the data collected during this visit to determine if the child has been euglycemic since the last visit. Which information is the most significant indicator of euglycemia?

a. Blood glucose levels throughout the day
b. Glycosylated hemoglobin (hemoglobin A1c)
c. The child's weight gain
d. Frequency of insulin injections

Answer 1

The most significant indicator of euglycemia in a child with diabetes mellitus is glycosylated hemoglobin (hemoglobin A1c), which reflects the average blood glucose level over the past 4 months.

Step-by-step explanation:

The most significant indicator of euglycemia, or normal blood glucose levels, in a child with diabetes mellitus is glycosylated hemoglobin (hemoglobin A1c). Hemoglobin A1c reflects the average blood glucose level over the past 4 months, giving a longer-term picture of blood glucose control. A level of hemoglobin A1c less than 7% is considered normal, while higher levels indicate poor control. Regular monitoring of hemoglobin A1c every 3 to 6 months is recommended in diabetes management.