— 降低風險 · MEDIUM · SATA —
護理師教導第一型糖尿病病人如何處理低血糖。下列哪些措施是合適的？（選所有適合的）
A nurse is teaching a client with Type 1 diabetes about managing hypoglycemia. Which actions are appropriate? (Select all that apply.)
- AConsume 15g of fast-acting carbohydrates✓ 正解攝取 15g 快速作用的碳水化合物
- BWait 15 minutes and recheck blood glucose✓ 正解等待 15 分鐘後重新檢測血糖
- CEat a snack with protein and complex carbs after levels normalize✓ 正解血糖恢復正常後食用含有蛋白質和複合碳水化合物的點心
- DDrink a large glass of whole milk immediately立即喝一大杯全脂牛奶
- EAdminister insulin if glucose is above 200 mg/dL如果血糖高於 200 mg/dL，則注射胰島素
— Explanation · 中文詳解 —
低血糖處理遵循「15-15法則」：攝取 15g 快吸收碳水化合物，15 分鐘後複測。若血糖正常但離下一餐還久，需補充複合式碳水化合物加蛋白質以維持穩定。全脂牛奶含脂肪會延緩糖分吸收，非首選。胰島素與此情境無關。
Management of hypoglycemia follows the '15-15 rule': consume 15 grams of fast-acting carbohydrates and recheck blood glucose after 15 minutes. If glucose levels remain low or if the next meal is more than an hour away, a snack containing protein and complex carbohydrates should be eaten to stabilize levels. Whole milk is not recommended initially because its fat content slows glucose absorption.
✦ 台美臨床差異
美國衛教強調攜帶急救糖包，台灣則常教導隨身攜帶方糖或果汁，兩者目標一致。