A nurse is providing teaching to a school-age child who has a new diagnosed of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?

A. This statement is appropriate. Children with type 1 diabetes should eat a carbohydrate-containing snack before physical activity to prevent hypoglycemia during exercise. B. Rotating insulin injection sites within the same general area helps prevent lipodystrophy (thickened or atrophied skin) and ensures consistent insulin absorption. C. This statement is appropriate. Regular blood glucose monitoring is essential for tight glycemic control and helps guide insulin dosing and dietary adjustments. D. This statement indicates a need for additional teaching. Children with type 1 diabetes should continue taking their insulin during illness, as stress and infection can increase blood glucose levels. Skipping insulin can lead to hyperglycemia and diabetic ketoacidosis, which is a serious complication.