Pediatric ATI Practice Exam

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In managing type 1 diabetes mellitus, what statement by a school-age child indicates understanding of their treatment?

"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
"I can skip my insulin if I feel fine."
"I will have my breakfast ready when I take my insulin."
"I do not need to check my blood sugar every day."

The correct answer is: "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

The statement, "I will give myself a shot of regular insulin 30 minutes before I eat breakfast," demonstrates a solid understanding of the importance of insulin timing in managing type 1 diabetes. Regular insulin typically starts to work within 30 minutes of administration, and administering it before a meal helps to effectively regulate blood glucose levels after eating. This approach is critical for preventing hyperglycemia, which can occur if insulin is not taken in conjunction with meals. In contrast, skipping insulin if feeling fine could lead to dangerous fluctuations in blood sugar levels, as type 1 diabetes requires consistent management regardless of immediate symptoms. The idea that breakfast should be ready at the same time as insulin administration does not prioritize meal timing in relation to insulin action, and not checking blood sugar daily bypasses an essential aspect of self-monitoring, which is vital for effective diabetes management.