A nurse is providing initial education to a 48-year-old newly diagnosed with type 2 diabetes (A1c 7.6%, BMI 31). Which lifestyle interventions should the nurse include? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
ADA-recommended lifestyle for T2DM: ≥150 min/week moderate aerobic activity (no >2 consecutive sedentary days), carbohydrate management (counting or plate method), 5-10% body weight loss, resistance training ≥2 days/week, and reduced sedentary time. Choice 3 is wrong — fruits are part of a healthy diabetes diet; whole fruits with fiber are encouraged in moderate portions, while juices and dried fruits should be limited. "Eliminate all fruits" is a long-debunked myth.
The "no fruit" myth is a high-yield NCLEX trap. Patients should be taught portion size and pairing with protein/fat, not blanket avoidance. Modest weight loss (5-7% in DPP study) reduces progression to diabetes by 58% — far more effective than metformin alone.
48-year-old newly diagnosed type 2 diabetes: A1c 7.6%, BMI 31. Provider has prescribed metformin and referred for diabetes self-management education. The nurse begins initial lifestyle counseling.
ADA physical activity goal — ≥150 min/week moderate aerobic activity over 3+ days, no >2 consecutive days off, plus 2+ days/week resistance training.