What advice should a nurse give to a client with type 2 diabetes handling nighttime tremors and anxiety?

Eating a bedtime snack is beneficial for a client with type 2 diabetes who is experiencing nighttime tremors and anxiety. This approach helps stabilize blood sugar levels during the night, which is crucial because fluctuations in glucose can lead to symptoms like tremors and anxiety. A snack that includes carbohydrates and protein can help maintain steady blood glucose levels, preventing hypoglycemia, which is often a cause of such symptoms.

In addition to managing blood sugar, having a small snack before bedtime can also provide a sense of comfort, which may alleviate anxiety. This practice supports both physical and emotional well-being, making it a practical recommendation for the client.

Other options, such as skipping dinner, could lead to inadequate caloric intake and worsen blood sugar control, while increasing evening exercise might elevate adrenaline levels, potentially exacerbating anxiety and nighttime tremors. Taking a sleep aid may not address the underlying issue of blood sugar fluctuations and could interact with the client’s diabetes management plan, potentially leading to further complications. Hence, eating a bedtime snack is the most supportive advice in this context.