What advice should a nurse give to an adolescent newly diagnosed with type 1 diabetes regarding exercise?

For a newly diagnosed adolescent with type 1 diabetes, incorporating physical activity into their routine is important for overall health and diabetes management. The advice to consume extra snacks before exercise is correct because engaging in physical activity can lower blood glucose levels. Adolescents with type 1 diabetes are at risk for hypoglycemia during and after exercise, especially if they are on insulin therapy. Consuming additional carbohydrates or snacks before exercising helps maintain stable blood sugar levels and prevents drops that could lead to symptoms of hypoglycemia, such as dizziness, confusion, or fainting.

The other suggestions do not adequately address safe exercise practices for adolescents with diabetes. Avoiding exercise completely is not beneficial, as physical activity is an essential component of a healthy lifestyle. Stipulating that exercise can only be safe after meals may limit an adolescent’s options and enjoyment of physical activities. Finally, recommending that insulin be taken after exercising could lead to further complications and isn't advisable as insulin needs to be administered before physical activity in accordance with blood glucose levels to ensure safe levels during and after exercise.