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Original Question

Which education would the nurse provide the parents of a child with type 1 diabetes who ask why they should test the child’s urine for ketones during periods of stress or illness , even though blood glucose testing is being done four times a day ? Urine should be tested for ketones during illness and when the blood glucose level is increased . Blood glucose testing before meals and at bedtime may be stopped once the child is stabilized on insulin. Urine testing remains the most accurate way to check for a high glucose level if double-voided specimens are used. The short-term glucose level is more accurately reflected in a urine specimen than in a blood specimen, especially in children.

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