Page 953 - Saunders Comprehensive Review For NCLEX-RN
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Box 32-1

               Preventing Type 2 Diabetes Mellitus in Childhood


               Eating Healthy to Lose Weight


                  ▪ Drink water instead of sugared beverages, such as sodas, juices, and sports
                    drinks.
                  ▪ Eat more fruits and vegetables—fresh is the best, but frozen and canned in water
                    (not syrup) is acceptable.
                  ▪ Limit fast food.
                  ▪ Make healthy snacks, such as grapes, carrots, or plain popcorn.


               Increasing Physical Activity to Lose Weight



                  ▪ Children and adolescents should have 60 minutes a day of physical activity.
                  ▪ Dancing, walking, bike riding, taking the stairs, playing interactive video games.
                  ▪ Limiting screen time (using computers, tablets, or phones) to 60 minutes per
                    day.


               Noticing Warning Signs


                  ▪ Increased thirst
                  ▪ Increased night-time urination
                  ▪ Blurry vision
                  ▪ Unusual fatigue


               Adapted from American Diabetes Association. (2018). Preventing type 2 in children.
               Retrieved from http://www.diabetes.org/living-with-diabetes/parents-and-
               kids/children-and-type-2/preventing-type-2-in-children.html



               Box 32-2

               Lessening the Pain of Blood Glucose Monitoring


                     Hold the finger under warm water for a few seconds before puncture (enhances
                      blood flow to the finger).
                     Use the ring finger or thumb to obtain a blood sample, because blood flows
                      more easily to these areas; puncture the finger just to the side of the finger
                      pad, because there are more blood vessels in this area and fewer nerve
                      endings.




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