A 20-year-old university student who has type 1 diabetes 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.What should the nurse teach the patient that adjustments to her treatment plan should include?

Question

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Monitoring glucose levels before, during, and after swimming will allow the patient to determine if adjustments need to be made to her food or insulin intake. Swimming is a form of exercise that can affect blood glucose levels differently than walking, so it is important to closely monitor levels and make changes as needed. Delaying meals or adding extra insulin without monitoring levels can lead to hypoglycemia or hyperglycemia. Timing the morning insulin injection to peak during the swim session may also not be appropriate as the peak may occur at a different time due to the change in exercise type.

A 20-Year-Old University Student Who Has Type 1 Diabetes Normally