[Solved]: A 49-year-old client with newly diagnosed type 2…

A 49-year-old client with newly diagnosed type 2 diabetes mellitus (DM)was started on metformin 500 mg twice a day (BID). The client comes in today for their first 6-month follow-up and glycated hemoglobin (hemoglobin A1C) recheck. The client’s hemoglobin A1C at the last visit was 8.1%; the client stated a goal to lose 20 pounds and change their diet. Since the last visit, the client reports that they lost only 5 pounds, modified their diet, eliminated dessert after every meal, and started walking twice a week. The client states they always had vegetables, protein, and rice or bread, and always had sweet tea for meals. Additionally, the client uses a stationary bike at night when watching TV. The client also stated that the metformin and cholesterol medication is taken daily as prescribed. The client reports drinking 1-2 beers per night and having a cigar once a week. Which 5 lifestyle changes would the nurse recommend the client make to manage their diagnosis more effectively? Lifestyle modifications Recommended to manage diagnosis 30-minute moderate-intensity aerobic workout at least 5 days/week Count carbohydrates Take metformin and insulin as prescribed Avoid going out in social situations where the client might get low blood sugar Monitor blood glucose Limit daily alcohol intake Limit drinks with increased sugar Cut out fats completely