A client with type 1 diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result of 253 mg/dL (14 mmol/L). A urine test is positive for ketones before her exercise session. What action should you take?

Question

Quizplus · Accepted Answer

With a fasting glucose level of 253 mg/dL and positive urine ketones, it is important to not allow her to exercise and notify her physician of the findings. This may indicate diabetic ketoacidosis (DKA), a serious complication of diabetes that requires immediate medical attention. Waiting until the glucose level reaches 300 mg/dL is not safe in this situation. Giving an extra carbohydrate snack before exercise could further increase glucose levels and worsen the condition. Adjusting the insulin regimen may also be necessary but should be done under medical guidance.

A Client with Type 1 Diabetes Mellitus Checks Her Fasting