A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and hemoglobin A1C (HbA1C). Which statement by the client indicates teaching has been effective?

Choice A reason: Informing the healthcare provider of HbA1C results weekly is incorrect because HbA1C is not measured daily or weekly. HbA1C reflects average blood glucose levels over 2–3 months and is typically checked every 3–6 months in a clinical setting. The client does not self-monitor HbA1C at home, so this statement shows misunderstanding. Choice B reason: Using a lancing device on the center of the finger pad is incorrect because the center of the finger pad is more sensitive and painful. The recommended site is the side of the fingertip, which is less painful and still provides adequate blood flow for testing. This statement demonstrates improper technique. Choice C reason: Documenting HbA1C results from the SMBG monitor every morning is inaccurate because SMBG monitors measure daily glucose levels, not HbA1C. HbA1C requires laboratory testing and cannot be obtained from a home glucose monitor. This statement reflects confusion between daily glucose monitoring and long-term glycemic control. Choice D reason: Washing hands with warm soapy water before fingerstick is correct because it ensures accurate results by removing contaminants such as food residue or sugar that could alter readings. Warm water also promotes blood flow, making it easier to obtain a sample. This statement demonstrates proper technique and understanding of SMBG.