A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to the unit for the third time in two months with a current fasting blood sugar (FBS) of 325 mg/dL (18 mmol/L). The client describes to the nurse of not understanding why the blood glucose level continues to be out of control. What intervention(s) should the nurse implement? Select all that apply. Reference Range Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]

A. Changing the glucose monitoring device is unlikely to address the root cause of the elevated blood sugars. B. Some asthma medications, such as corticosteroids, can increase blood glucose levels. Evaluating these medications is essential. C. Incorrect technique in monitoring blood glucose can lead to inaccurate readings. Having the client demonstrate the technique can identify any errors. D. Ensuring that a new insulin needle is used for each administration is important to prevent infection and ensure proper dosage. E. Understanding the client’s daily routine, including diet, exercise, and stress levels, can provide insight into factors affecting blood glucose control.