Family Nurse Practitioner Exam

Which statement about exercise for a newly diagnosed type 2 diabetic is incorrect?

1. If unable to eat due to illness, anti-diabetic agents can be continued with glucose monitoring

2. Strenuous exercise is contraindicated due to a higher risk of hypoglycemia

3. Exercise increases the body's ability to metabolize glucose

4. There may be hypoglycemic episodes in the evening if vigorous exercise is done without eating

The correct answer is: Strenuous exercise is contraindicated due to a higher risk of hypoglycemia

The rationale for identifying that strenuous exercise is contraindicated due to a higher risk of hypoglycemia is not entirely accurate in the context of managing a newly diagnosed type 2 diabetic. While it is true that certain precautions are necessary when it comes to exercise for individuals with diabetes, particularly regarding blood sugar monitoring, it is not universally correct to classify all strenuous exercise as contraindicated. In fact, exercise is an important component of managing type 2 diabetes since it helps to improve insulin sensitivity and enhances the body’s ability to metabolize glucose effectively. Individuals with well-managed blood glucose levels may actually benefit from engaging in regular physical activity, including more vigorous types of exercise. However, it is crucial for newly diagnosed individuals to understand their personal blood sugar responses to different levels of exercise. Those starting an exercise regimen should be educated on how to monitor their blood glucose levels before, during, and after exercise, and make informed decisions based on their readings and any symptoms they may experience. Therefore, labeling strenuous exercise as universally contraindicated does not convey the full picture of the benefits and considerations involved in exercise for individuals with type 2 diabetes.