Which comment by a 12-year-old child with type 1 diabetes indicates deficient knowledge?
Explanation & Rationale
A. Type 1 diabetes is characterized by an autoimmune destruction of pancreatic beta cells, resulting in little to no endogenous insulin production. Management requires lifelong insulin therapy, usually via injections or an insulin pump. The child’s statement reflects a misunderstanding of the disease and its treatment, as oral hypoglycemic medications, like those used in type 2 diabetes, are ineffective for type 1 diabetes. B. Rotating insulin injection sites is correct practice, preventing lipodystrophy, tissue hardening, and inconsistent insulin absorption, and demonstrates proper understanding. C. Keeping fast-acting glucose sources, such as Lifesavers, accessible addresses hypoglycemia, a common complication of insulin therapy, and shows appropriate self-management knowledge. D. Maintaining detailed records of glucose readings, insulin doses, and injection sites helps monitor trends, adjust therapy safely, and prevent complications, reflecting good self-care practices.