The Patient Is a 20-Year-Old College Student Who Has Type

The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of her exercise regimen. She now plans to enroll in a swimming class to meet her physical education requirement. Which adjustment in her treatment plan will the nurse help this patient make?

A) Time her morning insulin injection so that the peak action will occur during her swimming class.
B) Delete her normal walks on days she has swimming class.
C) Delay the meal before the swimming class until the session is over.
D) Monitor her glucose level before, during, and after swimming to determine the need for alterations in food or insulin.