nclex practice question help

mrsboots87 · Nov 26, 2014

I dont recall the exact pahtophys behind why you do this for type 1 but I have a general idea. I know it has something to do with the stress response during exercise. Since the DM I patient makes no insulin at all, when they exercise the stress causes an increased glucose level. If they eat too much before they exercise, then their sugars will go too high. This is combated by scheduling workouts around the peak time of the insulin they take.

Then for type two, they still make some insulin to respond to increased glucose from stress response, so they need to eat before a workout to avoid hypoglycemia. Also, I believe increasing food intake is usually a wrong answer for most questions since NCLEX is all about small frequent meals for almost all intake questions.

Summer Days · Nov 26, 2014

I dont recall the exact pahtophys behind why you do this for type 1 but I have a general idea. I know it has something to do with the stress response during exercise. Since the DM I patient makes no insulin at all, when they exercise the stress causes an increased glucose level. If they eat too much before they exercise, then their sugars will go too high. This is combated by scheduling workouts around the peak time of the insulin they take.
Then for type two, they still make some insulin to respond to increased glucose from stress response, so they need to eat before a workout to avoid hypoglycemia. Also, I believe increasing food intake is usually a wrong answer for most questions since NCLEX is all about small frequent meals for almost all intake questions.

^^^^ very well explained. If you need more explanation, the first paragraph of this article should answer your question.

Physical Activity/Exercise and Diabetes

Even better the following article lays it plain.

Blood Sugar & Stress :: Diabetes Education Online

In the end, truly understand the concept of stress response and cortisol levels.