A patient with type II diabetes mellitus has arrived in your clinic today for aerobic training on a treadmill.Prior to any exercise,blood sugar was 250 mg/dL,no ketones were detected,and insulin dose was taken.How should the physical therapist proceed?

Question

Quizplus · Accepted Answer

If BG values are 250 to 300 mg/dL and the patient is using insulin,she or he should check for ketosis.If no ketones are detected and the blood glucose (BG)is stable or falling,or if the patient is taking oral medications,and she or he feels good and is well hydrated,the individual can proceed with low- to moderate-intensity exercise for 10 to 15 minutes and then should recheck the BG level.If BG has risen,terminate the exercise.If BG has dropped,then continue the exercise and monitoring of BG regularly.

A Patient with Type II Diabetes Mellitus Has Arrived in Your