LESSON PREVIEW CHECKING FOR UNDERSTANDING Multiple Choice 1. a. People with diabetes can eat as many fruits as they want Rationale: People with type 2 diabetes cannot eat as much fruit as they may want, even though fruit is rich in vitamins, minerals and fiber. The problem is that it contains carbohydrates that break down into glucose (sugar) when digested. Insulin is needed to allow the glucose to be used by the body's cells. Therefore, option A is an incorrect statement. 2. d. “I may eat whatever I want, as long as I use enough insulin to cover the calories." Rationale: Most patients with type 1 diabetes need to plan diet choices very carefully. Patients who are using intensified insulin therapy have considerable flexibility in diet choices but still should restrict dietary intake of items such as fat, protein, and alcohol. The other patient statements are correct and indicate good understanding of the diet instruction. 3. d. Perform warmup and cool-down exercises Rationale: All clients who exercise should perform warmup and cool-down exercises to help prevent muscle strain and injury. 4. a. Irritability Rationale: If blood sugar levels become too low (Hypoglycemia), signs and symptoms can include: an irregular or fast heartbeat, fatigue, pale skin, shakiness, anxiety, sweating, hunger, and irritability. 5. a. "I am supposed to have a meal or snack if I drink alcohol." Rationale: For diabetic patients, it is important to always consume alcohol with a meal or snack that contains carbohydrates. Never skip meals or substitute alcohol for a meal. Therefore, option A is the accurate answer for a patient with diabetes. LESSON WRAP-UP MINUTE PAPER 1. 2.