Which discharge goal is appropriate for a client with type 1 diabetes?

• A. The client will demonstrate self-injection of insulin, using a preloaded syringe, into the subcutaneous tissue of the thigh prior to discharge
• B. The client will monitor blood glucose daily
• C. The client will maintain a specific weight
• D. The client will discontinue insulin therapy when feeling well

Answer: (A)

Managing type 1 diabetes hinges on lifelong insulin therapy, so preparing for discharge centers on the patient’s ability to administer insulin safely and accurately. Demonstrating self-injection with a preloaded syringe into the subcutaneous tissue of the thigh shows the patient can prepare the dose, select an appropriate site, inject at the correct depth and angle, and deliver the prescribed amount. This hands-on skill is essential for maintaining glycemic control at home and for recognizing and responding to any issues like unexpected hypo- or hyperglycemia. While daily blood glucose monitoring is important, the act of correctly giving insulin is the concrete, actionable skill that enables independence after discharge. Maintaining a specific weight isn’t a direct discharge skill, and discontinuing insulin when feeling well would be dangerous.