A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

A. This statement indicates a need for further instruction. During illness (sick day management), children with type 1 diabetes require more frequent blood glucose monitoring, typically every 3 to 4 hours or more often. Illness can cause unpredictable increases or decreases in glucose levels, increasing the risk for complications such as ketoacidosis. Checking only twice daily is insufficient. This statement is incorrect. B. Maintaining hydration is essential during illness to prevent dehydration and assist in glucose control. Offering small, frequent amounts of sugar-free fluids is appropriate, especially if blood glucose is elevated. This statement is correct. C. Fever can increase metabolic demands and worsen glycemic control. Notifying the provider if fever persists despite treatment is appropriate and demonstrates understanding of when to seek medical help. This statement is correct. D. Changes in breathing (e.g., rapid or deep respirations) and confusion may indicate serious complications such as diabetic ketoacidosis. Prompt reporting is essential. This statement is correct.