A mother asks the nurse about how to manage her child's morning hyperglycemia. Which of the following would be most appropriate response by the nurse
A.Question the mother if her child has been avoiding sweets.
B.Tell the mother that this is normal and to continue with the ordered doses.
C.Ask the mother what her child's blood glucose levels have been for the last few days.
D.Inform the mother that this is unusual and the child needs to be seen in the emergency room now.
参考答案:C
解析:Management of children with early morning hyperglycemia depends on whether the hyperglycemia is due to insulin-waning, a progressive rise in blood glucose throughout the day, or rebound hyperglycemia (Somogyi effect; an increase in blood sugar glucose at bedtime, a drop at about 2.00 AM, then a rebound rise early in the morning). Information about the child's blood glucose levels would provide clues to determine which event is occurring.