Which statement by a client with type 1 diabetes mellitus indicates a need for further teaching?

Which statement by a client with type 1 diabetes mellitus indicates a need for further teaching?

• A. Since my eyesight is so bad, I ask the nurse to fill several syringes.
• B. I use a sliding scale to adjust regular insulin to my sugar level.
• C. I keep my regular insulin bottle in the refrigerator.
• D. I always make sure to shake the NPH bottle hard to mix it well.

Answer: (D)

The statement regarding always shaking the NPH insulin bottle hard to mix it well indicates a need for further teaching. NPH insulin is a suspension that does require mixing, but it should be gently rolled between the palms of the hands instead of being shaken vigorously. Shaking can create bubbles and may result in an incorrect dosage, potentially affecting the efficacy of the insulin. Proper technique is essential to ensure that the client administers the correct amount of insulin. This distinction is crucial for safety and effective diabetes management, highlighting the importance of handling insulin formulations appropriately.

The statement regarding always shaking the NPH insulin bottle hard to mix it well indicates a need for further teaching. NPH insulin is a suspension that does require mixing, but it should be gently rolled between the palms of the hands instead of being shaken vigorously. Shaking can create bubbles and may result in an incorrect dosage, potentially affecting the efficacy of the insulin. Proper technique is essential to ensure that the client administers the correct amount of insulin. This distinction is crucial for safety and effective diabetes management, highlighting the importance of handling insulin formulations appropriately.