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DM: Educate on Prevention and Treatment of Exercise-Related
Hypoglycemia
➤ The RDN should educate adults with diabetes taking insulin or
insulin secretagogues that physical activity may cause hypoglycemia
if medication doses or carbohydrate consumption is not altered.
Individual glycemic response patterns can differ markedly with
exercise; therefore, persons with diabetes taking insulin or insulin
secretagogues must use glucose monitoring and recognition of glucose
patterns to make decisions to exercise safely. (Consensus, Conditional)
DM: Education on Glucose Monitoring
➤ The RDN should ensure that adults with type 1 diabetes and type 2
diabetes are educated about glucose monitoring and using data to
adjust therapy. When prescribed as part of a broader educational
context, results may help guide treatment decisions and self-
management. (Fair, Imperative)
DM: Coordination of Care
➤ The RDN should implement MNT and coordinate care with an
interdisciplinary health care team, the adult with diabetes and
important others (e.g., family, friends and colleagues). Care systems
should support team-based care and community involvement to meet
patient needs, ensuring productive interactions between a prepared,
proactive practice team and an informed, activated patient. (Strong,
Imperative)
Nutrition Intervention
